MEDICARE: CHRISTIAN SNUFFER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1548805963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN SNUFFER

Provider Business Mailing Address
First Line	:	4010 S OLYMPIC WAY
Second Line	:
City	:	HOLLADAY
State	:	UT
Zip	:	84124-2126
Country	:	US
Telephone Number	:	801-598-5336
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 E SOUTH TEMPLE STE 250
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84111-1273
Country	:	US
Telephone Number	:	801-477-6949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2019
Last Update Date	:	03/17/2025

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