Provider Demographics
NPI:1255051595
Name:SCHAAF, JO-ANN PEREA
Entity type:Individual
Prefix:
First Name:JO-ANN
Middle Name:PEREA
Last Name:SCHAAF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22981 WORDEN TER
Mailing Address - Street 2:
Mailing Address - City:BRAMBLETON
Mailing Address - State:VA
Mailing Address - Zip Code:20148-4950
Mailing Address - Country:US
Mailing Address - Phone:937-260-1481
Mailing Address - Fax:
Practice Address - Street 1:22981 WORDEN TER
Practice Address - Street 2:
Practice Address - City:BRAMBLETON
Practice Address - State:VA
Practice Address - Zip Code:20148-4950
Practice Address - Country:US
Practice Address - Phone:937-260-1481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704013233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health