Healthcare Provider Details

I. General information

NPI: 1740375872
Provider Name (Legal Business Name): MARY L SNOWDON MA, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 SILVERSIDE RD BLDG SUITE2E
WILMINGTON DE
19810-4900
US

IV. Provider business mailing address

3521 SILVERSIDE RD , QUILLEN BLDG SUITE E
WILMINGTON DE
19810
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-2969
  • Fax: 302-351-4031
Mailing address:
  • Phone: 302-478-2969
  • Fax: 302-351-4031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC-0000157
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: