Provider Demographics
NPI:1821975251
Name:SNYDER, KATELYN SIERRA (MS, LPC-A)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:SIERRA
Last Name:SNYDER
Suffix:
Gender:F
Credentials:MS, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 MANCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-3130
Mailing Address - Country:US
Mailing Address - Phone:843-597-6816
Mailing Address - Fax:
Practice Address - Street 1:706 MANCHESTER AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-3130
Practice Address - Country:US
Practice Address - Phone:843-597-6816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10474101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional