Healthcare Provider Details

I. General information

NPI: 1982266813
Provider Name (Legal Business Name): MICHELLE LEE SNAPP LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

561 S PINKHAM ST STE D
VISALIA CA
93292-1514
US

IV. Provider business mailing address

561 S PINKHAM ST STE D
VISALIA CA
93292-1514
US

V. Phone/Fax

Practice location:
  • Phone: 559-372-7090
  • Fax: 559-372-7751
Mailing address:
  • Phone: 559-372-7090
  • Fax: 559-372-7751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number115236
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: