Provider Demographics
NPI:1306231196
Name:SNITZER, MARK (MS NCC LPC)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:SNITZER
Suffix:
Gender:M
Credentials:MS NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 BRIAR RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-2554
Mailing Address - Country:US
Mailing Address - Phone:570-430-5329
Mailing Address - Fax:
Practice Address - Street 1:100 WINDING CREEK BLVD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1883
Practice Address - Country:US
Practice Address - Phone:717-590-7283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006337101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional