MEDICARE: JENNIFER LYNN SCHOLES LPC

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	2004032828	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437179629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNN SCHOLES LPC

Provider Business Mailing Address
First Line	:	PO BOX 1239
Second Line	:
City	:	HANNIBAL
State	:	MO
Zip	:	63401-1239
Country	:	US
Telephone Number	:	573-629-3370
Fax Number	:	573-406-5750

Provider Business Practice Location Address
First Line	:	3145 HIGHWAY 61 STE A
Second Line	:
City	:	HANNIBAL
State	:	MO
Zip	:	63401-6588
Country	:	US
Telephone Number	:	573-629-3370
Fax Number	:	573-406-5750

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	10/26/2012

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