Healthcare Provider Details

I. General information

NPI: 1265868194
Provider Name (Legal Business Name): MIKAEL C SNITKER PHD, CRC, LPC, CPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2013
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 GALLETTI WAY
SPARKS NV
89431-5544
US

IV. Provider business mailing address

2005 SIMPSON AVE
RENO NV
89503-1532
US

V. Phone/Fax

Practice location:
  • Phone: 775-688-2001
  • Fax:
Mailing address:
  • Phone: 608-620-8857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number125-3970
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCP5670-R
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: