Provider Demographics
NPI:1932738101
Name:SCHOBER-ORDONEZ, KATHERINE ELIZABETH (MS, NCC, LPCC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:SCHOBER-ORDONEZ
Suffix:
Gender:F
Credentials:MS, NCC, LPCC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:SCHOBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12800 INDUSTRIAL PARK BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-3929
Mailing Address - Country:US
Mailing Address - Phone:641-831-3756
Mailing Address - Fax:
Practice Address - Street 1:12800 INDUSTRIAL PARK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-3929
Practice Address - Country:US
Practice Address - Phone:763-412-0722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health