Provider Demographics
NPI:1588186035
Name:SNELL, KATHERINE LEA (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:LEA
Last Name:SNELL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 YORK AVE N
Mailing Address - Street 2:
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-5423
Mailing Address - Country:US
Mailing Address - Phone:651-308-5956
Mailing Address - Fax:
Practice Address - Street 1:2909 YORK AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-5423
Practice Address - Country:US
Practice Address - Phone:651-308-5956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-15
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3172106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist