Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 2073 | CO |
N | 101YP2500X | Professional Counselor | LPC.0002073 | CO |
Y | 103TC1900X | Counseling Psychologist |
NPI | 1104903905 |
---|---|
Provider Name | Kathleen Marina Snell |
First Address | Aurora, CO 80011-7117 |
Second Address | Aurora, CO 80011-7112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 16/12/2020 |