Provider Demographics
NPI:1487967956
Name:VANDERSCHAAF, JOAN CHRISTINE (EDD, LCPC, LMHC, NNC)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:CHRISTINE
Last Name:VANDERSCHAAF
Suffix:
Gender:F
Credentials:EDD, LCPC, LMHC, NNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 MANCHESTER RD STE 966
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4671
Mailing Address - Country:US
Mailing Address - Phone:407-435-1131
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 966
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4671
Practice Address - Country:US
Practice Address - Phone:407-435-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 7539101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health