Provider Demographics
NPI:1932440815
Name:SCHREIBER, TRACEY J (LPC CACI CC)
Entity Type:Individual
Prefix:
First Name:TRACEY
Middle Name:J
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:LPC CACI CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 W JEWELL AVE
Mailing Address - Street 2:1C
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80232-7264
Mailing Address - Country:US
Mailing Address - Phone:720-879-8343
Mailing Address - Fax:
Practice Address - Street 1:5400 W JEWELL AVE
Practice Address - Street 2:1C
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80232-7264
Practice Address - Country:US
Practice Address - Phone:720-879-8343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-02
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC11457101YP2500X
COACA6668101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)