Doctor Name: | MS. MARY-JO SCHOLAND |
NPI Number: | 1124341102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPS, LCPC |
License Number: | 180-002189 |
Business Practice Address: | 501 N Riverside Suite 217 Gurnee, IL - 60031 |
Business Phone Number: | 8476330900 |
Business Fax Number: | 8473674208 |
Mailing Address: | 501 N Riverside, Suite 217 GURNEE |
State: | IL |
Postal Code: | 60031 |
Phone Number: | 8476330900 |
Fax Number: | 8473674208 |
NPI Enumeration Date: | 03/05/2010 |
NPI Last Update Date: | 03/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180-002189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |