Doctor Name: | SUSAN ALLISON SNARE |
NPI Number: | 1265709703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC |
License Number: | E.0601018 |
Business Practice Address: | 5350 Lamme Rd Moraine, OH - 454393215 |
Business Phone Number: | 9375344632 |
Business Fax Number: | 9375344609 |
Mailing Address: | 5350 Lamme Rd, MORAINE |
State: | OH |
Postal Code: | 454393215 |
Phone Number: | 9375344632 |
Fax Number: | 9375344609 |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | E.0601018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |