Doctor Name: | JEROLYNN BELL-SCAGGS |
NPI Number: | 1003256132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4999-125 |
Business Practice Address: | 4251 N 74th St Milwaukee, WI - 532161076 |
Business Phone Number: | 4145029294 |
Business Fax Number: | 4147557335 |
Mailing Address: | 4251 N 74th St, MILWAUKEE |
State: | WI |
Postal Code: | 532161076 |
Phone Number: | 4145029294 |
Fax Number: | 4147557335 |
NPI Enumeration Date: | 07/03/2013 |
NPI Last Update Date: | 08/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4999-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |