Provider Demographics
NPI:1174765838
Name:TROESCHER SNELL, THERESA MARIE (BA, CSC-ADP)
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:MARIE
Last Name:TROESCHER SNELL
Suffix:
Gender:F
Credentials:BA, CSC-ADP
Other - Prefix:MRS
Other - First Name:THERESA
Other - Middle Name:MARIE
Other - Last Name:TROESCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, CSC-ADP
Mailing Address - Street 1:PO BOX 980
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-0980
Mailing Address - Country:US
Mailing Address - Phone:410-535-5400
Mailing Address - Fax:410-535-0736
Practice Address - Street 1:975 SOLOMONS ISLAND RD N
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3917
Practice Address - Country:US
Practice Address - Phone:410-535-5400
Practice Address - Fax:410-535-0736
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)