Provider Demographics
NPI:1508203373
Name:SNYDER, VANESSA B (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:B
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:S
Other - Last Name:BALINGCONGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11444 MONTGALL AVE APT 913
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137
Mailing Address - Country:US
Mailing Address - Phone:347-653-0746
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:347-653-0746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KSLPC2984101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program