Schroeder, Jessica Lynn

Schroeder, Jessica Lynn is an sole proprietor health care provider with primary practice located at 205 S 5Th St Ste 22, Leavenworth KS 66048-2602. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Schroeder, Jessica Lynn can be contacted via phone (913) 579-3557.

Contact Information

Primary practice address
205 S 5Th St Ste 22 Leavenworth KS 66048-2602
Phone: (913) 579-3557
Fax: (913) 273-6818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LCMFT 821 Kansas

Profile Details

NPI number 1942513056
LBN Legal business name Schroeder, Jessica Lynn
Credentials MS, LCMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2010
Last updated Jan 29th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942513056 NPPES
Kansas MEDICAID 200676720A

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