Provider Demographics
NPI:1174166318
Name:SLOWINSKI, JANEL MARIE PITZEN
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:MARIE PITZEN
Last Name:SLOWINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANEL
Other - Middle Name:MARIE
Other - Last Name:PITZEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:CO LAKE REGION HUMAN SERVICE CENTER
Mailing Address - Street 2:200 HWY 2 W
Mailing Address - City:DEVILS LAKE
Mailing Address - State:ND
Mailing Address - Zip Code:58301
Mailing Address - Country:US
Mailing Address - Phone:701-665-2200
Mailing Address - Fax:701-665-2300
Practice Address - Street 1:14050 NICOLLET AVE STE 301
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5739
Practice Address - Country:US
Practice Address - Phone:651-313-8080
Practice Address - Fax:651-925-0610
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN299311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical