Doctor Name: | JAMES SCHERCK |
NPI Number: | 1053776427 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | LPC-6059 |
Business Practice Address: | 2271 Overland Ave Burley, ID - 833182960 |
Business Phone Number: | 2086789114 |
Business Fax Number: | |
Mailing Address: | 2271 Overland Ave, BURLEY |
State: | ID |
Postal Code: | 833182960 |
Phone Number: | 2086789114 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2015 |
NPI Last Update Date: | 12/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-6059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |