Provider Demographics
NPI:1386185130
Name:SNETRO, CHARLOTTE (LMFT)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:SNETRO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-5003
Mailing Address - Country:US
Mailing Address - Phone:860-324-8747
Mailing Address - Fax:
Practice Address - Street 1:741 BOSTON POST RD STE 308
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2714
Practice Address - Country:US
Practice Address - Phone:860-324-8747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2301106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist