Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | PC001460 | PA |
N | 101YS0200X | School Counselor |
NPI | 1003369596 |
---|---|
Provider Name | Susan Patricia Schaming |
First Address | Cherry Hill, NJ 08002-1000 |
Second Address | Cherry Hill, NJ 08002-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2016 |
Last Update Date | 01/08/2016 |