Provider Demographics
NPI:1245947852
Name:SCHUH, KENDRA NICOLE (MA, LAMFT)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:NICOLE
Last Name:SCHUH
Suffix:
Gender:F
Credentials:MA, LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-0204
Mailing Address - Country:US
Mailing Address - Phone:651-399-2279
Mailing Address - Fax:
Practice Address - Street 1:2805 JABER AVE NE
Practice Address - Street 2:
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-5400
Practice Address - Country:US
Practice Address - Phone:651-399-2279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4395106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist