Provider Demographics
NPI:1366093098
Name:SNOWMAN, SHANNON (LCPC)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:
Last Name:SNOWMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SUNNY CT
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788-1796
Mailing Address - Country:US
Mailing Address - Phone:240-215-7333
Mailing Address - Fax:
Practice Address - Street 1:8 SUNNY CT
Practice Address - Street 2:
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788-1796
Practice Address - Country:US
Practice Address - Phone:240-415-8631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC11742101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health