Provider Demographics
NPI:1497861066
Name:SNELGROVE, SANDI LEIGH (LAADAC)
Entity Type:Individual
Prefix:MRS
First Name:SANDI
Middle Name:LEIGH
Last Name:SNELGROVE
Suffix:
Gender:F
Credentials:LAADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 HURLEY WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3299
Mailing Address - Country:US
Mailing Address - Phone:916-922-9217
Mailing Address - Fax:916-921-1787
Practice Address - Street 1:2143 HURLEY WAY STE 250
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3299
Practice Address - Country:US
Practice Address - Phone:916-922-9217
Practice Address - Fax:916-921-1787
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA8470905101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)