Healthcare Provider Details

I. General information

NPI: 1356926232
Provider Name (Legal Business Name): KERRY A SNEDDON LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2021
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

243 AMERICAN WAY
WEIRTON WV
26062-4081
US

IV. Provider business mailing address

20 SUNSET DR
MARTINS FERRY OH
43935-1048
US

V. Phone/Fax

Practice location:
  • Phone: 304-217-3015
  • Fax:
Mailing address:
  • Phone: 304-217-3015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberBP00947662
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: