Jennifer Lee Schill, MFT

Individual provider Active NPI Marriage & Family Therapist · Frederic, WI

NPI 1164762001 · NPPES record last updated Sep 23, 2016

Key facts

NPI
1164762001
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
339-228 (WI)
Practice address
203 United Way
Frederic, WI 54837-8938
Phone
(715) 327-4402
Fax
(715) 327-4470
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
339-228WIMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 339-228 WI Yes

Addresses

Primary practice location

203 United Way
Frederic, WI 54837-8938

Mailing address

939 30TH Ave
Barronett, WI 54813-9432
Phone (715) 645-2137

Other providers in Frederic, WI

All providers in Frederic, WI · Marriage & Family Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.