Healthcare Provider Details

I. General information

NPI: 1669306437
Provider Name (Legal Business Name): QUINN CHRISTINE SNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 STAUNTON DR
WESTON WV
26452-5604
US

IV. Provider business mailing address

PO BOX 449
WEST MILFORD WV
26451-0449
US

V. Phone/Fax

Practice location:
  • Phone: 304-269-9510
  • Fax:
Mailing address:
  • Phone: 304-269-9510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: