Provider Demographics
NPI:1972828440
Name:BURGER, BARBARA CECELIA (LPC & LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:CECELIA
Last Name:BURGER
Suffix:
Gender:F
Credentials:LPC & LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16597 CENTERPOINTE DR
Mailing Address - Street 2:
Mailing Address - City:GROVER
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1609
Mailing Address - Country:US
Mailing Address - Phone:636-405-2901
Mailing Address - Fax:636-405-2901
Practice Address - Street 1:16597 CENTERPOINTE DR
Practice Address - Street 2:
Practice Address - City:GROVER
Practice Address - State:MO
Practice Address - Zip Code:63040-1609
Practice Address - Country:US
Practice Address - Phone:636-405-2901
Practice Address - Fax:636-405-2901
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-28
Last Update Date:2010-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001731101YP2500X
MO3000052106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional