Provider Demographics
NPI:1083196794
Name:SNYDER, DONNALEE (LPC, LCADC)
Entity Type:Individual
Prefix:
First Name:DONNALEE
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 ROUTE 9 STE F
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-4653
Mailing Address - Country:US
Mailing Address - Phone:609-693-4343
Mailing Address - Fax:
Practice Address - Street 1:424 ROUTE 9 STE F
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-4653
Practice Address - Country:US
Practice Address - Phone:609-693-4343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00515600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health