MEDICARE: SHERRIE SCHANZENBAKER LLPC, M.ED., FLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	6401014033	MI

General Provider Information

NPI Number	:	1427471036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRIE SCHANZENBAKER LLPC, M.ED., FLE

Provider Business Mailing Address
First Line	:	40 MICHIGAN AVE E
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49017-4010
Country	:	US
Telephone Number	:	269-967-2760
Fax Number	:	269-704-5927

Provider Business Practice Location Address
First Line	:	40 MICHIGAN AVE E
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49017-4010
Country	:	US
Telephone Number	:	269-967-2760
Fax Number	:	269-704-5927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2014
Last Update Date	:	02/03/2014

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