Individual
JACOB ROGER SCHOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, CCTS-I
Contact information
Practice address
16251 N CAVE CREEK RD, PHOENIX, AZ 85032-2976
(602) 910-2941
(602) 409-0499
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(602) 409-0499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-22149
AZ
101YP2500X
Professional Counselor
22149
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137997
—
AZ
Enumeration date
08/06/2019
Last updated
04/03/2024
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