Provider Demographics
NPI:1750819777
Name:SCHWARTZ, LAUREEN ANN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LAUREEN
Middle Name:ANN
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 SNELLING AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-2048
Mailing Address - Country:US
Mailing Address - Phone:612-269-9635
Mailing Address - Fax:
Practice Address - Street 1:338 SNELLING AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-2048
Practice Address - Country:US
Practice Address - Phone:612-269-9635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN02006101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN02006OtherMN BOARD OF BEHAVIORAL HEALTH AND THERAPY