Provider Demographics
NPI:1649324039
Name:SCHREIBER, MARY CELIA (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CELIA
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:22 FRONTENAC ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:FRONTENAC
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2600
Mailing Address - Country:US
Mailing Address - Phone:314-991-0750
Mailing Address - Fax:314-991-0292
Practice Address - Street 1:300 FORT ZUMWALT SQ
Practice Address - Street 2:SUITE 106
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-3078
Practice Address - Country:US
Practice Address - Phone:314-753-6243
Practice Address - Fax:314-991-0292
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2003030517101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional