MEDICARE: MRS. KRISTI SCHLEGEL 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	2019011838	MO

General Provider Information

NPI Number	:	1750056339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTI SCHLEGEL LPC

Provider Business Mailing Address
First Line	:	3906 BENT OAK DR
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5894
Country	:	US
Telephone Number	:	573-289-8744
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 FORUM BLVD
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5424
Country	:	US
Telephone Number	:	573-289-8744
Fax Number	:

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

Provider Enumeration Date	:	08/15/2021
Last Update Date	:	08/15/2021

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