Healthcare Provider Details

I. General information

NPI: 1154248607
Provider Name (Legal Business Name): KYLIE ANNE SNELGROVE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1940 FEATHER RIVER BLVD STE H
OROVILLE CA
95965-5723
US

IV. Provider business mailing address

567 VIRGINIA ST STE A
GRIDLEY CA
95948-2133
US

V. Phone/Fax

Practice location:
  • Phone: 530-933-9551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: