Provider Demographics
NPI:1083727457
Name:SNUGGS, CHRISTY J (LAC, SAP, CCS, CCDPD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:J
Last Name:SNUGGS
Suffix:
Gender:F
Credentials:LAC, SAP, CCS, CCDPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WHITE TAIL DR
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-6191
Mailing Address - Country:US
Mailing Address - Phone:337-852-8822
Mailing Address - Fax:
Practice Address - Street 1:102 WHITE TAIL DR
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-6191
Practice Address - Country:US
Practice Address - Phone:337-852-8822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA984101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA623Medicare UPIN