Provider Demographics
NPI:1083938369
Name:SCHMITZ, CECELIA THERESA (LCPC)
Entity Type:Individual
Prefix:
First Name:CECELIA
Middle Name:THERESA
Last Name:SCHMITZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-8573
Mailing Address - Country:US
Mailing Address - Phone:620-231-2700
Mailing Address - Fax:620-231-0184
Practice Address - Street 1:1800 E 4TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-8573
Practice Address - Country:US
Practice Address - Phone:620-231-2700
Practice Address - Fax:620-231-0184
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS771101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health