Provider Demographics
NPI:1124341102
Name:SCHOLAND, MARY-JO (MPS, LCPC)
Entity type:Individual
Prefix:MS
First Name:MARY-JO
Middle Name:
Last Name:SCHOLAND
Suffix:
Gender:F
Credentials:MPS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N RIVERSIDE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031
Mailing Address - Country:US
Mailing Address - Phone:847-633-0900
Mailing Address - Fax:847-367-4208
Practice Address - Street 1:501 N RIVERSIDE
Practice Address - Street 2:SUITE 217
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031
Practice Address - Country:US
Practice Address - Phone:847-633-0900
Practice Address - Fax:847-367-4208
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-002189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health