Doctor Name: | MRS. JULIE A. VANDER SCHEL |
NPI Number: | 1427243682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCDP,LCDCS |
License Number: | LCDCS00354 |
Business Practice Address: | 2076 Wallum Lake Road Pascoag, RI - 02859 |
Business Phone Number: | 4015681770 |
Business Fax Number: | 4015683358 |
Mailing Address: | Po Box 398, PASCOAG |
State: | RI |
Postal Code: | 028590398 |
Phone Number: | 4015681770 |
Fax Number: | 4015683358 |
NPI Enumeration Date: | 09/11/2007 |
NPI Last Update Date: | 09/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LCDCS00354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |