Provider Demographics
NPI:1891928016
Name:SNAPP, JOHN O (CAC II)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:O
Last Name:SNAPP
Suffix:
Gender:M
Credentials:CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 W SAINT ELMO AVE
Mailing Address - Street 2:#106
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-2253
Mailing Address - Country:US
Mailing Address - Phone:719-522-3308
Mailing Address - Fax:
Practice Address - Street 1:27 W SAINT ELMO AVE
Practice Address - Street 2:#106
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-2253
Practice Address - Country:US
Practice Address - Phone:719-522-3308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6943101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)