Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 6401015081 | MI |
N | 225C00000X | Rehabilitation Counselor | 00118070 | MI |
NPI | 1124573241 |
---|---|
Provider Name | Mrs. Alexis Ann Schneider |
First Address | Lansing, MI 48906-5334 |
Second Address | Lansing, MI 48906-5334 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2016 |
Last Update Date | 18/08/2016 |