Provider Demographics
NPI:1235762311
Name:SCHUCHMANN, KRISTEN (LPCC)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:SCHUCHMANN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6958 SILVERBROOK CT
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43566-1712
Mailing Address - Country:US
Mailing Address - Phone:419-279-7759
Mailing Address - Fax:419-383-3032
Practice Address - Street 1:3000 ARLINGTON AVE # MS 1083
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2598
Practice Address - Country:US
Practice Address - Phone:419-383-6737
Practice Address - Fax:419-383-3062
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0003032101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional