Provider Demographics
NPI:1508103037
Name:SNYDER, AIMEE MARIE KIRCHNER (MA, LLPC)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:MARIE KIRCHNER
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:MARIE
Other - Last Name:KIRCHNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1040 S WINTER ST
Mailing Address - Street 2:STE. 1022
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-3876
Mailing Address - Country:US
Mailing Address - Phone:517-263-8905
Mailing Address - Fax:517-265-8237
Practice Address - Street 1:1040 S WINTER ST
Practice Address - Street 2:STE. 1022
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-3876
Practice Address - Country:US
Practice Address - Phone:517-263-8905
Practice Address - Fax:517-265-8237
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011324101YP2500X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator