Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | E.1200501 | OH |
N | 101YS0200X | School Counselor | OH3108243 | OH |
NPI | 1073851069 |
---|---|
Provider Name | Melissa Leigh Snow |
First Address | Beachwood, OH 44122-5643 |
Second Address | Avon, OH 44011-1214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2013 |
Last Update Date | 15/03/2016 |