Provider Demographics
NPI:1174737811
Name:SNEDIGAR, JAN PIER (MSSW)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:PIER
Last Name:SNEDIGAR
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:JAN
Other - Middle Name:PIER
Other - Last Name:KRIZAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2900 DOOLITTLE DR
Mailing Address - Street 2:28 MDOS SGOH
Mailing Address - City:ELLSWORTH AFB
Mailing Address - State:SD
Mailing Address - Zip Code:57706-4821
Mailing Address - Country:US
Mailing Address - Phone:605-385-3656
Mailing Address - Fax:605-385-2030
Practice Address - Street 1:2900 DOOLITTLE DR
Practice Address - Street 2:28 MDOS SGOH
Practice Address - City:ELLSWORTH AFB
Practice Address - State:SD
Practice Address - Zip Code:57706-4821
Practice Address - Country:US
Practice Address - Phone:605-385-3656
Practice Address - Fax:605-385-2030
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCSW-PIP 1735101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health