Provider Demographics
NPI:1225297310
Name:SNYDER, DEBORAH KAY (CADC II)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KAY
Last Name:SNYDER
Suffix:
Gender:F
Credentials:CADC II
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:KAY
Other - Last Name:CLAYTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2260 WATSON WAY
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-7924
Mailing Address - Country:US
Mailing Address - Phone:760-599-1882
Mailing Address - Fax:760-599-1884
Practice Address - Street 1:2260 WATSON WAY
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-7924
Practice Address - Country:US
Practice Address - Phone:760-599-1882
Practice Address - Fax:760-599-1884
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CAA015130315101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)