Provider Demographics
NPI:1780224634
Name:SNELL, DONALD JOEL JR (LMHC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:JOEL
Last Name:SNELL
Suffix:JR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N PARK AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3268
Mailing Address - Country:US
Mailing Address - Phone:407-539-0047
Mailing Address - Fax:407-539-0048
Practice Address - Street 1:505 N PARK AVE STE 212
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3268
Practice Address - Country:US
Practice Address - Phone:407-539-0047
Practice Address - Fax:407-539-0048
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13336101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH13336OtherSTATE OF FLORIDA