Provider Demographics
NPI:1487296729
Name:WILSON-SNYDER, RACHEL R (MA, LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:R
Last Name:WILSON-SNYDER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 TUMBLING RUN
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7654
Mailing Address - Country:US
Mailing Address - Phone:717-575-3949
Mailing Address - Fax:
Practice Address - Street 1:25 TUMBLING RUN
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7654
Practice Address - Country:US
Practice Address - Phone:717-575-3949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010396101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional