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NPI Code Detail

MEDICARE: SNIDERMAN COUNSELING CENTER PLLC

MEDICARE: SNIDERMAN COUNSELING CENTER PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1730997032
Entity Type Code : Organization
Provider Name (Legal Business Name) : SNIDERMAN COUNSELING CENTER PLLC
Provider Business Mailing Address
First Line : 2044 W HADDON AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4140
Country : US
Telephone Number : 773-991-3722
Fax Number :
Provider Business Practice Location Address
First Line : 2044 W HADDON AVE APT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4140
Country : US
Telephone Number : 773-991-3722
Fax Number :
Authorized Official
Title or Position : FOUNDER/CLINICIAN
Name : SUSAN SNIDERMAN
Credential : LCSW
Telephone Number : 773-991-3722
Provider Enumeration Date : 12/19/2024
Last Update Date : 12/19/2024

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Directions to “SNIDERMAN COUNSELING CENTER PLLC ” Practice Location

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