Doctor Name: | ERIN E SNODGRASS |
NPI Number: | 1669499240 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LADAC |
License Number: | 2032-C |
Business Practice Address: | 1425 W. Main Walnut Ridge, AR - 72476 |
Business Phone Number: | 8708865303 |
Business Fax Number: | 8708867002 |
Mailing Address: | 1815 Pleasant Grove Road, JONESBORO |
State: | AR |
Postal Code: | 72404 |
Phone Number: | 8709336886 |
Fax Number: | 8709339395 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2032-C |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |