| Doctor Name: | JENNIFER SCHALOW |
| NPI Number: | 1043545700 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC |
| License Number: | A1510131 |
| Business Practice Address: | 1249 Lakeside Rd Hot Springs, AR - 719017354 |
| Business Phone Number: | 5012622766 |
| Business Fax Number: | 5012622544 |
| Mailing Address: | 1249 Lakeside Rd, HOT SPRINGS |
| State: | AR |
| Postal Code: | 719017354 |
| Phone Number: | 5012622766 |
| Fax Number: | 5012622544 |
| NPI Enumeration Date: | 10/13/2009 |
| NPI Last Update Date: | 03/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | A1510131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |