Individual
MR. JON B SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NCC, MAC
Contact information
Practice address
9300 DEWITT LOOP, CHILD AND ADOLESCENT PSYCHIATRY SERVICES CLINIC, FORT BELVOIR, VA 22060-5285
(571) 231-1171
(571) 231-1172
Mailing address
9300 DEWITT LOOP, FORT BELVOIR COMMUNITY HOSPITAL, FORT BELVOIR, VA 22060-5285
(571) 231-1171
(571) 231-1172
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2315
AL
101YP2500X
Professional Counselor
Primary
2315
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11713524
CAQH
AL
01
—
200280923
TAX ID
AL
01
—
51527447
BCBSAL
AL
01
—
51534981
AMERICAN BEHAVIORAL HEALT
AL
Enumeration date
03/15/2007
Last updated
05/13/2021
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