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General NPI Number Information
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NPI Number | 1619103330
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Entity Type | Individual
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Provider Name | MICHAEL B SNIDER LPC
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Gender | Male
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 550 EARL GARRETT ST STE 207B
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City | KERRVILLE
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State | TX
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Zip | 78028-4577
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Country | US
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Telephone | 830-955-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 333 WATER ST APT P2
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City | KERRVILLE
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State | TX
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Zip | 78028-5257
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Country | US
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Telephone | 830-777-0172
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 16303
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License Number State | TX
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