Healthcare Provider Details

I. General information

NPI: 1144124306
Provider Name (Legal Business Name): PATRICK ALEXANDER SNELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 TOWN CENTER DR STE 135
OXNARD CA
93036-1193
US

IV. Provider business mailing address

1124 TIVOLI LN UNIT 154
SIMI VALLEY CA
93065-1931
US

V. Phone/Fax

Practice location:
  • Phone: 530-392-4399
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number151240
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: