Healthcare Provider Details

I. General information

NPI: 1760336549
Provider Name (Legal Business Name): ALEXANDRIA SNOWDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1970 E 3RD AVE STE 101
DURANGO CO
81301-5056
US

IV. Provider business mailing address

1970 E 3RD AVE STE 101
DURANGO CO
81301-5056
US

V. Phone/Fax

Practice location:
  • Phone: 970-422-1716
  • Fax:
Mailing address:
  • Phone: 970-422-1716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0009925744
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: