Provider Demographics
NPI:1407225857
Name:SCHOENECK, RON (LPC)
Entity Type:Individual
Prefix:
First Name:RON
Middle Name:
Last Name:SCHOENECK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:RONALD
Other - Middle Name:
Other - Last Name:SCHOENECK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:N11230 ANTIGO ST
Mailing Address - Street 2:
Mailing Address - City:ELCHO
Mailing Address - State:WI
Mailing Address - Zip Code:54428-9613
Mailing Address - Country:US
Mailing Address - Phone:715-275-3934
Mailing Address - Fax:715-275-4510
Practice Address - Street 1:W10610 CLINIC STREET
Practice Address - Street 2:
Practice Address - City:ELCHO
Practice Address - State:WI
Practice Address - Zip Code:54428-0278
Practice Address - Country:US
Practice Address - Phone:715-275-3934
Practice Address - Fax:715-275-4533
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional