Most Relevant Information
Provider Data
| NPI Number: | 1003078775 |
| Provider Name: | ILENE JULIE SCHNEIDER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | R043885 |
Most Important Dates
| Enumeration Date: | 06/25/2008 |
| Last Updated: | 08/06/2019 |
Provider Practice Location
COMMUNITY HEALTH AND COUNSELING SERVICES
52 CHRISTIAN RIDGE ROAD
ELLSWORTH
ME
04605
Practice Location Phone/Fax
| Phone: | 2076108027 |
| Fax: | 8452253207 |
Provider Mailing Location
1808 ROUTE 6
CARMEL
NY
105122356
Provider Mailing Phone/Fax
| Phone: | 8452160961 |
| Fax: | 8452253207 |