Provider Demographics
NPI:1669075040
Name:DISCHLER, VICKI (MA, LPC)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:DISCHLER
Suffix:
Gender:
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 1:1611 COUNTY ROAD B W STE 312
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-4107
Mailing Address - Country:US
Mailing Address - Phone:651-243-0077
Mailing Address - Fax:651-273-2201
Practice Address - Street 1:1611 COUNTY ROAD B W
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-5021
Practice Address - Country:US
Practice Address - Phone:734-660-9998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health