Provider Demographics
NPI:1710081948
Name:SCHLEGEL, JANET K (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:K
Last Name:SCHLEGEL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:K
Other - Last Name:BOECKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:11925 CENTRAL AVE NE STE 106
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-3911
Mailing Address - Country:US
Mailing Address - Phone:763-746-0842
Mailing Address - Fax:763-208-7297
Practice Address - Street 1:11925 CENTRAL AVE NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-3911
Practice Address - Country:US
Practice Address - Phone:763-746-0842
Practice Address - Fax:763-220-6025
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLAMFT1604106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist