Provider Demographics
NPI:1285682559
Name:SCHNELLINGER, JACQUELINE E (MA)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:E
Last Name:SCHNELLINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 138
Mailing Address - Street 2:
Mailing Address - City:HOT SULPHUR SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80451-0138
Mailing Address - Country:US
Mailing Address - Phone:970-281-0659
Mailing Address - Fax:
Practice Address - Street 1:100 MEADOWS BLVD
Practice Address - Street 2:
Practice Address - City:TABERNASH
Practice Address - State:CO
Practice Address - Zip Code:80478-5388
Practice Address - Country:US
Practice Address - Phone:970-281-0659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2509101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional