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General NPI Number Information
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NPI Number | 1104025295
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Entity Type | Individual
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Provider Name | SUZANNE M SNYDER MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 4609 137TH ST SE
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City | SNOHOMISH
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State | WA
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Zip | 98296-7655
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Country | US
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Telephone | 425-478-1644
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Fax | 425-379-2650
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Provider Business Mailing Address
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Address Line | 4609 137TH ST SE
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City | SNOHOMISH
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State | WA
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Zip | 98296-7655
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Country | US
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Telephone | 425-478-1644
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Fax | 425-379-2650
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH 60145319
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License Number State | WA
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