Provider Demographics
NPI:1114012358
Name:SCHERSCHEL, MARC DOUGLAS (LPC)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:DOUGLAS
Last Name:SCHERSCHEL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:W175N11120 STONEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-6511
Mailing Address - Country:US
Mailing Address - Phone:800-438-1772
Mailing Address - Fax:262-345-5562
Practice Address - Street 1:1049 N LYNNDALE DR
Practice Address - Street 2:SUITE 1B
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914
Practice Address - Country:US
Practice Address - Phone:920-731-9798
Practice Address - Fax:920-731-1097
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3868-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43722300Medicaid
WI3868-125OtherLICENSE