Healthcare Provider Details

I. General information

NPI: 1306335054
Provider Name (Legal Business Name): ERIN SNEMIS PCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2018
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N PALM CANYON DR STE A4
PALM SPRINGS CA
92262-1866
US

IV. Provider business mailing address

3998 VISTA WAY STE E
OCEANSIDE CA
92056-4514
US

V. Phone/Fax

Practice location:
  • Phone: 442-268-7000
  • Fax:
Mailing address:
  • Phone: 602-959-8307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number5019
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number5019
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: