Healthcare Provider Details

I. General information

NPI: 1508203373
Provider Name (Legal Business Name): VANESSA B SNYDER MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VANESSA S BALINGCONGAN

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD
KANSAS CITY KS
66160-8500
US

IV. Provider business mailing address

11444 MONTGALL AVE APT 913
KANSAS CITY MO
64137
US

V. Phone/Fax

Practice location:
  • Phone: 347-653-0746
  • Fax:
Mailing address:
  • Phone: 347-653-0746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC2984
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: