| Doctor Name: | JAN SCHROEDER |
| NPI Number: | 1023409315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | T-0172151 |
| Business Practice Address: | 2218 Southern Blvd Se 14 Rio Rancho, NM - 871243797 |
| Business Phone Number: | 5059940161 |
| Business Fax Number: | |
| Mailing Address: | 3804 Oakmount Dr Se, RIO RANCHO |
| State: | NM |
| Postal Code: | 871242183 |
| Phone Number: | 5052611703 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2015 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | T-0172151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |