Provider Demographics
NPI:1528744778
Name:SCHWEIZER, JEAN-MARIE (LPC, NCC, MDIV)
Entity type:Individual
Prefix:
First Name:JEAN-MARIE
Middle Name:
Last Name:SCHWEIZER
Suffix:
Gender:M
Credentials:LPC, NCC, MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5051 TRAIL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-2045
Mailing Address - Country:US
Mailing Address - Phone:817-423-2970
Mailing Address - Fax:
Practice Address - Street 1:5051 TRAIL LAKE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76133-2045
Practice Address - Country:US
Practice Address - Phone:817-423-2970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-23
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81452101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health