Individual provider · Type 1 NPI

Jacob Schroeder

Professional Counselor · Coeur D Alene, ID

NPI number 1255240453 Active

Practice location

3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Call (208) 620-5210 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X7081036 (ID)
Mental Health Counselor 101YM0800X7081036 (ID)
Professional Counselor Primary 101YP2500X7081036 (ID)

Professional Counselor: Definition to come...

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About NPI 1255240453

Jacob Schroeder's National Provider Identifier is 1255240453, issued on Sep 3, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coeur D Alene, ID. The record was last updated on Sep 3, 2026.