| Doctor Name: | JOHN PATRICK SCHROM |
| NPI Number: | 1528472321 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S,, LPC |
| License Number: | LPC 3542 |
| Business Practice Address: | 222 Nighthawk Rd Bonners Ferry, ID - 838055441 |
| Business Phone Number: | 2082676569 |
| Business Fax Number: | 2082676288 |
| Mailing Address: | 222 Nighthawk Rd, BONNERS FERRY |
| State: | ID |
| Postal Code: | 838055441 |
| Phone Number: | 2082676569 |
| Fax Number: | 2082676288 |
| NPI Enumeration Date: | 06/19/2014 |
| NPI Last Update Date: | 06/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC 3542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |