Provider Demographics
NPI:1477786416
Name:SCHAIBLE, JENNIFER (LPCC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SCHAIBLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 N KAVANEY DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1768
Mailing Address - Country:US
Mailing Address - Phone:701-255-3325
Mailing Address - Fax:701-250-6469
Practice Address - Street 1:1915 N KAVANEY DR
Practice Address - Street 2:SUITE 4
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-1768
Practice Address - Country:US
Practice Address - Phone:701-255-3325
Practice Address - Fax:701-250-6469
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND625-2-1-09-215101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional