KELLY SNYDER

GRESHAM, OR
NPI1649628645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-05-31
Last Update Date2016-05-31
Business Address
-- KELLY SNYDER
400 NE 7TH ST
GRESHAM, OR 97030
Phone number: 503-661-5455
Mailing Address
-- KELLY SNYDER
3905 SE 147TH AVE 97236
PORTLAND, OR 97236-2533
Phone number: 503-772-1039