Provider Demographics
NPI:1871603167
Name:SCHAGUNN-LERE, CARA L (LSW, LPCC)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:SCHAGUNN-LERE
Suffix:
Gender:F
Credentials:LSW, LPCC
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:L
Other - Last Name:SCHAGUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW, LAPC
Mailing Address - Street 1:300 2ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-3373
Mailing Address - Country:US
Mailing Address - Phone:701-251-6000
Mailing Address - Fax:701-952-6019
Practice Address - Street 1:300 2ND AVE NE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-3373
Practice Address - Country:US
Practice Address - Phone:701-251-6000
Practice Address - Fax:701-952-6019
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND2956104100000X
ND557-15-06-182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker