Provider Demographics
NPI:1932926847
Name:SCHWEITZER, CIERRA SYMMONE (LPC)
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:SYMMONE
Last Name:SCHWEITZER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 S ESTELLE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67211-5506
Mailing Address - Country:US
Mailing Address - Phone:316-807-0393
Mailing Address - Fax:
Practice Address - Street 1:915 E 53RD ST N
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:KS
Practice Address - Zip Code:67219-2611
Practice Address - Country:US
Practice Address - Phone:316-677-7646
Practice Address - Fax:316-776-4487
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04815101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional