Provider Demographics
NPI:1386397214
Name:SNYDER, NICOLE SUZANNE (LPC)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:SUZANNE
Last Name:SNYDER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:S
Other - Last Name:OLIVER SNYDER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, CFSPC
Mailing Address - Street 1:260 S YARROW ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1528
Mailing Address - Country:US
Mailing Address - Phone:630-747-5219
Mailing Address - Fax:
Practice Address - Street 1:220 S YARROW ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1528
Practice Address - Country:US
Practice Address - Phone:303-233-3430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0017136101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional