Provider Demographics
NPI:1427243682
Name:VANDER SCHEL, JULIE A (LCDP,LCDCS)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:VANDER SCHEL
Suffix:
Gender:F
Credentials:LCDP,LCDCS
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCDP,LCDCS
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:PASCOAG
Mailing Address - State:RI
Mailing Address - Zip Code:02859-0398
Mailing Address - Country:US
Mailing Address - Phone:401-568-1770
Mailing Address - Fax:401-568-3358
Practice Address - Street 1:2076 WALLUM LAKE ROAD
Practice Address - Street 2:
Practice Address - City:PASCOAG
Practice Address - State:RI
Practice Address - Zip Code:02859
Practice Address - Country:US
Practice Address - Phone:401-568-1770
Practice Address - Fax:401-568-3358
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDCS00354101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)