Provider Demographics
NPI:1962182147
Name:SNELL, ALICIA (LCMHCA, NCC, MA)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:SNELL
Suffix:
Gender:F
Credentials:LCMHCA, NCC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8116 SHUBRICK RD
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7473
Mailing Address - Country:US
Mailing Address - Phone:352-512-8056
Mailing Address - Fax:
Practice Address - Street 1:2836 HENDERSON DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-5242
Practice Address - Country:US
Practice Address - Phone:910-939-0836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health