Provider Demographics
NPI:1407911563
Name:SNOOKS, HOWARD DALE (LCSW)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:DALE
Last Name:SNOOKS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 30TH ST
Mailing Address - Street 2:SUITE # 301
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1238
Mailing Address - Country:US
Mailing Address - Phone:303-447-0011
Mailing Address - Fax:303-447-2310
Practice Address - Street 1:2500 30TH ST
Practice Address - Street 2:SUITE # 301
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1238
Practice Address - Country:US
Practice Address - Phone:303-447-0011
Practice Address - Fax:303-447-2310
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9830471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical