Provider Demographics
NPI:1053931436
Name:PATEL, SNAHA R (LPC)
Entity type:Individual
Prefix:
First Name:SNAHA
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 W SHANNON RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-8961
Mailing Address - Country:US
Mailing Address - Phone:520-401-9253
Mailing Address - Fax:
Practice Address - Street 1:2745 W SHANNON RIDGE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-8961
Practice Address - Country:US
Practice Address - Phone:520-401-9253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-25
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-017086101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor