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NPI Code Detail

MEDICARE: ALEXIS KAMILLE SNOWDEN

MEDICARE: ALEXIS KAMILLE SNOWDEN
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
1101YS0200XSchool CounselorCA

General Provider Information

NPI Number : 1669336855
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS KAMILLE SNOWDEN
Provider Business Mailing Address
First Line : 4600 BLACKROCK DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-1250
Country : US
Telephone Number : 916-928-5353
Fax Number :
Provider Business Practice Location Address
First Line : 4600 BLACKROCK DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-1250
Country : US
Telephone Number : 916-928-5353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ ALEXIS KAMILLE SNOWDEN ” Practice Location

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