Healthcare Provider Details

I. General information

NPI: 1194112193
Provider Name (Legal Business Name): ADRIANNE NICHOL SNYDER MA, ATR-BC, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4275 FULTON DR NW
CANTON OH
44718-2821
US

IV. Provider business mailing address

3181 ANGLETERRE BLVD
AKRON OH
44312-5005
US

V. Phone/Fax

Practice location:
  • Phone: 330-249-3004
  • Fax:
Mailing address:
  • Phone: 330-265-8915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.1901204
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number17-370
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: