Provider Demographics
NPI:1548588304
Name:SCHAEFFER, LOUELLA JANE (LMFT)
Entity Type:Individual
Prefix:
First Name:LOUELLA
Middle Name:JANE
Last Name:SCHAEFFER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E ANTON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-3779
Mailing Address - Country:US
Mailing Address - Phone:208-667-6095
Mailing Address - Fax:208-667-6173
Practice Address - Street 1:202 E ANTON AVE STE 206
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-3779
Practice Address - Country:US
Practice Address - Phone:208-667-6095
Practice Address - Fax:208-667-6173
Is Sole Proprietor?:No
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMFT-3077106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist