Healthcare Provider Details

I. General information

NPI: 1073605341
Provider Name (Legal Business Name): JENNY MARIE SCHWIEGER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 E. BLUE EARTH AVE. SUITE 8
FAIRMONT MN
56031
US

IV. Provider business mailing address

816 E. BLUE EARTH AVE. SUITE 8
FAIRMONT MN
56031
US

V. Phone/Fax

Practice location:
  • Phone: 507-375-5688
  • Fax: 507-414-8185
Mailing address:
  • Phone: 507-375-5688
  • Fax: 507-414-8185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number00320
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: