Crystal Dawn Snowball, AA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Winnebago, NE
NPI 1982329504 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1982329504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1089 (NE)
- Practice address
- 206 Maple Street
Winnebago, NE 68071-6807 - Phone
- (402) 878-2231
- Fax
- (402) 878-2204
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1089 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1089 | NE | Yes |
Addresses
Primary practice location
206 Maple Street
Winnebago, NE 68071-6807
Mailing address
225 S. Bluff Street
Winnebago, NE 68071
Phone (402) 878-3660
Other providers in Winnebago, NE
- Alyssa Rusch
- Ryan Schultz
- Alisha Shelton
- Natasha Nicole Snow
- Thomas James Snow
- Jennifer Renee Swanson
- Lori Lynn Swanson
- Marci Jo Tilley
- Bobbi Jo Van Lent
- Anthony Ware
All providers in Winnebago, NE · Addiction (Substance Use Disorder) Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.