| Doctor Name: | MS. TERESA C SCHROEDER |
| NPI Number: | 1740501212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC |
| License Number: | 180.006646 |
| Business Practice Address: | 153 N Main Street Shiloh, IL - 62269 |
| Business Phone Number: | 3144950585 |
| Business Fax Number: | 3146673325 |
| Mailing Address: | 6137 Roberts Ave, ST. LOUIS |
| State: | MO |
| Postal Code: | 63139 |
| Phone Number: | 3144950585 |
| Fax Number: | 3146673325 |
| NPI Enumeration Date: | 06/18/2010 |
| NPI Last Update Date: | 06/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180.006646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |