Provider Demographics
NPI:1770912867
Name:SNODGRASS, ROSEMARY (LPC)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:SNODGRASS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-0087
Mailing Address - Country:US
Mailing Address - Phone:256-765-7111
Mailing Address - Fax:256-765-7117
Practice Address - Street 1:3625 HELTON DRIVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-0050
Practice Address - Country:US
Practice Address - Phone:256-765-7111
Practice Address - Fax:256-765-7117
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1627101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional