Provider Demographics
NPI:1518417930
Name:SCHLEGEL, LOIS (MS, LPC)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:
Last Name:SCHLEGEL
Suffix:
Gender:F
Credentials:MS, LPC
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 1781
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-0140
Mailing Address - Country:US
Mailing Address - Phone:541-621-6739
Mailing Address - Fax:
Practice Address - Street 1:916 W 10TH ST STE 207
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-3018
Practice Address - Country:US
Practice Address - Phone:541-621-6739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC4269101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health