Provider Demographics
NPI:1952690836
Name:SNYDER, JAMIE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1913 APPALOOSA DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-6496
Mailing Address - Country:US
Mailing Address - Phone:307-761-1993
Mailing Address - Fax:307-460-3774
Practice Address - Street 1:2000 WESTLAND RD UNIT C
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3309
Practice Address - Country:US
Practice Address - Phone:307-761-1993
Practice Address - Fax:307-460-3774
Is Sole Proprietor?:No
Enumeration Date:2011-03-31
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY903101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional