Healthcare Provider Details

I. General information

NPI: 1437872744
Provider Name (Legal Business Name): GABRIELLA JULIET SNIDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 CROW CANYON RD STE 201
SAN RAMON CA
94583-1583
US

IV. Provider business mailing address

2723 CROW CANYON RD STE 201
SAN RAMON CA
94583-1583
US

V. Phone/Fax

Practice location:
  • Phone: 925-236-0831
  • Fax:
Mailing address:
  • Phone: 925-236-0831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: