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NPI Code Detail

MEDICARE: LYNN SNYDER COUNSELING

MEDICARE: LYNN SNYDER COUNSELING
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
1101YA0400XAddiction (Substance Use Disorder) Counselor6018FL
21041C0700XClinical Social WorkerSW 11656FL

General Provider Information

NPI Number : 1881018505
Entity Type Code : Organization
Provider Name (Legal Business Name) : LYNN SNYDER COUNSELING
Provider Business Mailing Address
First Line : 8270 BURNT STORE RD UNIT 3
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-4705
Country : US
Telephone Number : 914-505-8080
Fax Number : 914-505-8090
Provider Business Practice Location Address
First Line : 8270 BURNT STORE RD UNIT 3
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-4705
Country : US
Telephone Number : 914-505-8080
Fax Number : 914-505-8090
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : LYNN A SNYDER
Credential : MSW, LCSW, CAP
Telephone Number : 914-505-8080
Provider Enumeration Date : 02/17/2014
Last Update Date : 02/17/2014

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