Provider Demographics
NPI:1841585551
Name:SCHLAGHECK, JENNIFER (PROFESSIONAL COUNSEL)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SCHLAGHECK
Suffix:
Gender:F
Credentials:PROFESSIONAL COUNSEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45439-2214
Mailing Address - Country:US
Mailing Address - Phone:937-299-9060
Mailing Address - Fax:937-299-3040
Practice Address - Street 1:3440 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45439-2214
Practice Address - Country:US
Practice Address - Phone:937-299-9060
Practice Address - Fax:937-299-3040
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.0700216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional