Most Relevant Information
Provider Data
| NPI Number: | 1003256132 |
| Provider Name: | JEROLYNN BELL-SCAGGS LPC, ADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 4999-125 |
Most Important Dates
| Enumeration Date: | 07/03/2013 |
| Last Updated: | 05/30/2019 |
Provider Practice Location
3970 N OAKLAND AVE STE 402
SHOREWOOD
WI
532112265
Practice Location Phone/Fax
| Phone: | 4143678793 |
| Fax: |
Provider Mailing Location
3970 N OAKLAND AVE STE 402
SHOREWOOD
WI
532112265
Provider Mailing Phone/Fax
| Phone: | 4143678793 |
| Fax: |