Provider Demographics
NPI:1619292810
Name:SCHAAL, JENNIFER ALLYN (LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ALLYN
Last Name:SCHAAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 ED DR STE 108
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-8092
Mailing Address - Country:US
Mailing Address - Phone:919-783-8377
Mailing Address - Fax:866-347-8377
Practice Address - Street 1:4041 ED DR STE 108
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-8092
Practice Address - Country:US
Practice Address - Phone:919-783-8377
Practice Address - Fax:866-347-8377
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7877101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional