MEDICARE: HEIDI SNITCHLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2958	NE

General Provider Information

NPI Number	:	1164718714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI SNITCHLER

Provider Business Mailing Address
First Line	:	PO BOX 1163
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68702-1163
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 ANDREWS DR
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-2760
Country	:	US
Telephone Number	:	402-851-4026
Fax Number	:	402-379-2487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2011
Last Update Date	:	06/22/2011

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Directions to “ HEIDI SNITCHLER ” Practice Location

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