Individual provider · Type 1 NPI

Kelly Schroeder

Mental Health Counselor · Fairfield, CA

NPI number 1710430830 Active

Practice location

1735 Enterprise Dr Ste 105A
Fairfield, CA 94533-6822

Fax (707) 425-1081

Mailing address

1286 Callen St
Vacaville, CA 95688-3002

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1710430830

Kelly Schroeder's National Provider Identifier is 1710430830, issued on Jul 25, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Jul 25, 2016.