| Doctor Name: | JACQUELINE MESSMER-WILBERG |
| NPI Number: | 1104930726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSW |
| License Number: | 000131 |
| Business Practice Address: | 255 Spencer Rd Suite 201 Saint Peters, MO - 633762494 |
| Business Phone Number: | 6369392550 |
| Business Fax Number: | 6369392551 |
| Mailing Address: | 255 Spencer Rd, Suite 201 SAINT PETERS |
| State: | MO |
| Postal Code: | 633762494 |
| Phone Number: | 6369392550 |
| Fax Number: | 6369392551 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 08/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 000131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |