Provider Demographics
NPI:1972950715
Name:SCHENSTAD-HODGINS, JANELLE MARIE (MS LPCC)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:MARIE
Last Name:SCHENSTAD-HODGINS
Suffix:
Gender:F
Credentials:MS LPCC
Other - Prefix:
Other - First Name:JANELLE
Other - Middle Name:MARIE
Other - Last Name:SCHENSTAD-HODGIND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS LPCC
Mailing Address - Street 1:1406 6TH AVENUE NORTH
Mailing Address - Street 2:ST CLOUD HOSPITAL
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-1901
Mailing Address - Country:US
Mailing Address - Phone:320-229-4977
Mailing Address - Fax:320-229-5109
Practice Address - Street 1:1406 6TH AVENUE NORTH
Practice Address - Street 2:ST CLOUD HOSPITAL
Practice Address - City:ST CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1901
Practice Address - Country:US
Practice Address - Phone:320-229-4977
Practice Address - Fax:320-229-5109
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional