Provider Demographics
NPI:1235632753
Name:SNYDER, KRISTA L (LMFT, APCC)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:L
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LMFT, APCC
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 1
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-0001
Mailing Address - Country:US
Mailing Address - Phone:530-839-3637
Mailing Address - Fax:
Practice Address - Street 1:2220 SAINT GEORGE LN STE 3
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1307
Practice Address - Country:US
Practice Address - Phone:530-839-3637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-11
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4650101YP2500X
CA119444106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional