Provider Demographics
NPI:1023383551
Name:SNOWMAN, NIKKI (LCPC-C)
Entity Type:Individual
Prefix:
First Name:NIKKI
Middle Name:
Last Name:SNOWMAN
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 495
Mailing Address - Street 2:38 ELM STREET
Mailing Address - City:HARTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04943-0495
Mailing Address - Country:US
Mailing Address - Phone:207-938-3899
Mailing Address - Fax:207-938-3899
Practice Address - Street 1:38 ELM ST STE C
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:ME
Practice Address - Zip Code:04943-3502
Practice Address - Country:US
Practice Address - Phone:207-938-3899
Practice Address - Fax:207-938-3899
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL3883101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional