Doctor Name: | CECELIA THERESA SCHMITZ |
NPI Number: | 1083938369 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 771 |
Business Practice Address: | 609 Canterbury Rd Pittsburg, KS - 667623592 |
Business Phone Number: | 6202316726 |
Business Fax Number: | 6202310841 |
Mailing Address: | 609 Canterbury Rd, PITTSBURG |
State: | KS |
Postal Code: | 667623592 |
Phone Number: | 6202316726 |
Fax Number: | 6202310841 |
NPI Enumeration Date: | 03/16/2010 |
NPI Last Update Date: | 03/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |