Healthcare Provider Details

I. General information

NPI: 1992574933
Provider Name (Legal Business Name): AMANDA K SNYDER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2024
Last Update Date: 01/01/2024
Certification Date: 12/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 N LAFAYETTE ST
DENVER CO
80218-1531
US

IV. Provider business mailing address

2485 S WILLIAMS ST
DENVER CO
80210-5155
US

V. Phone/Fax

Practice location:
  • Phone: 408-859-2505
  • Fax:
Mailing address:
  • Phone: 408-859-2505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC.0021642
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: