Provider Demographics
NPI:1215008818
Name:SNYDER, JOANNE TERESA (LMFT 33512)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:TERESA
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LMFT 33512
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:TERESA
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT 33512
Mailing Address - Street 1:2132 N REFUGIO RD
Mailing Address - Street 2:
Mailing Address - City:SANTA YNEZ
Mailing Address - State:CA
Mailing Address - Zip Code:93460-9332
Mailing Address - Country:US
Mailing Address - Phone:805-717-0849
Mailing Address - Fax:805-686-0068
Practice Address - Street 1:2132 N REFUGIO RD
Practice Address - Street 2:
Practice Address - City:SANTA YNEZ
Practice Address - State:CA
Practice Address - Zip Code:93460-9332
Practice Address - Country:US
Practice Address - Phone:805-717-0849
Practice Address - Fax:805-686-3045
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 33512101YA0400X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALMFT 33512OtherMARRIAGE FAMILY THERAPIST