Provider Demographics
NPI:1568841468
Name:SCHLOER, JUSTIN WILLIAM (LCPC)
Entity type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:WILLIAM
Last Name:SCHLOER
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 HAWLEY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-3653
Mailing Address - Country:US
Mailing Address - Phone:224-421-6235
Mailing Address - Fax:630-349-8131
Practice Address - Street 1:142 HAWLEY ST STE 1
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-3653
Practice Address - Country:US
Practice Address - Phone:224-421-6235
Practice Address - Fax:630-349-8131
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL24533101YA0400X
101YP2500X
IL27692101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional