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NPI Code Detail

MEDICARE: RAY K SNAPP MA, LPC

MEDICARE: RAY K SNAPP MA, LPC
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
1101Y00000XCounselor808WY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1312244OTHERWYBS OF WY

General Provider Information

NPI Number : 1881763910
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAY K SNAPP MA, LPC
Provider Business Mailing Address
First Line : 1954 W MARIPOSA PKWY
Second Line :
City : WHEATLAND
State : WY
Zip : 82201-3102
Country : US
Telephone Number : 307-322-3190
Fax Number : 307-322-3198
Provider Business Practice Location Address
First Line : 1954 W MARIPOSA PKWY
Second Line :
City : WHEATLAND
State : WY
Zip : 82201-3102
Country : US
Telephone Number : 307-322-3190
Fax Number : 307-322-3198
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 03/15/2011

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