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General NPI Number Information
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NPI Number | 1457608457
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Entity Type | Individual
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Provider Name | GRETCHEN DARLENE SNYDER MSPC, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 2415 E CAMELBACK RD STE 766
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City | PHOENIX
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State | AZ
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Zip | 85016-4288
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Country | US
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Telephone | 602-382-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 2415 E CAMELBACK RD STE 766
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City | PHOENIX
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State | AZ
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Zip | 85016-4288
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Country | US
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Telephone | 314-591-8960
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-23783
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State | AZ
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