Provider Demographics
NPI:1740375872
Name:SNOWDON, MARY L (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:L
Last Name:SNOWDON
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3521 SILVERSIDE RD , QUILLEN BLDG
Mailing Address - Street 2:SUITE E
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810
Mailing Address - Country:US
Mailing Address - Phone:302-478-2969
Mailing Address - Fax:302-351-4031
Practice Address - Street 1:3521 SILVERSIDE RD BLDG SUITE2E
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4900
Practice Address - Country:US
Practice Address - Phone:302-478-2969
Practice Address - Fax:302-351-4031
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000157101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE279204OtherCOMPSYCH
DE2310590OtherCIGNA BEHAVIOR HEALTH