Provider Demographics
NPI:1609176049
Name:DISCHER, WENDIE LEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:WENDIE
Middle Name:LEE
Last Name:DISCHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 PARK AVE EAST PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:RENVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56284-0001
Mailing Address - Country:US
Mailing Address - Phone:320-329-4357
Mailing Address - Fax:320-329-4357
Practice Address - Street 1:316 PARK AVE EAST
Practice Address - Street 2:
Practice Address - City:RENVILLE
Practice Address - State:MN
Practice Address - Zip Code:56284-0001
Practice Address - Country:US
Practice Address - Phone:320-329-4357
Practice Address - Fax:320-329-4357
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-02
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLPC00429101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional