Doctor Name: | MS. JAN PIER SNEDIGAR |
NPI Number: | 1174737811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSW |
License Number: | CSW-PIP 1735 |
Business Practice Address: | 2900 Doolittle Dr 28 Mdos Sgoh Ellsworth Afb, SD - 577064821 |
Business Phone Number: | 6053853656 |
Business Fax Number: | 6053852030 |
Mailing Address: | 2900 Doolittle Dr, 28 Mdos Sgoh ELLSWORTH AFB |
State: | SD |
Postal Code: | 577064821 |
Phone Number: | 6053853656 |
Fax Number: | 6053852030 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | CSW-PIP 1735 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |