Provider Demographics
NPI:1285400184
Name:MORRISON, JACLYN MARIE SCHNEIDER (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JACLYN
Middle Name:MARIE SCHNEIDER
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:JACLYN
Other - Middle Name:MARIE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2546 JOHNSON ST NE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-3941
Mailing Address - Country:US
Mailing Address - Phone:612-326-0992
Mailing Address - Fax:
Practice Address - Street 1:2546 JOHNSON ST NE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-3941
Practice Address - Country:US
Practice Address - Phone:612-326-0992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-30
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4401106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist