Provider Demographics
NPI:1235462151
Name:KNAEBLE-WEISS, RAINI J (MSED, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:RAINI
Middle Name:J
Last Name:KNAEBLE-WEISS
Suffix:
Gender:F
Credentials:MSED, LPCC
Other - Prefix:MS
Other - First Name:RAINI
Other - Middle Name:J
Other - Last Name:KNAEBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, LPCC
Mailing Address - Street 1:750 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-2341
Mailing Address - Country:US
Mailing Address - Phone:218-750-0137
Mailing Address - Fax:
Practice Address - Street 1:1735 W 540 N APT 2601
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-1672
Practice Address - Country:US
Practice Address - Phone:435-668-6254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8738096-6004101YM0800X
MNCC00407101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health