Provider Demographics
NPI:1639446875
Name:JAMES-SVEBACK, SUZANNIE M (LAMFT)
Entity Type:Individual
Prefix:
First Name:SUZANNIE
Middle Name:M
Last Name:JAMES-SVEBACK
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18986 LAKE DR E
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-9348
Mailing Address - Country:US
Mailing Address - Phone:952-767-3678
Mailing Address - Fax:612-869-6743
Practice Address - Street 1:18986 LAKE DR E
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-9348
Practice Address - Country:US
Practice Address - Phone:952-767-3678
Practice Address - Fax:612-869-6743
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2362106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist