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General NPI Number Information
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NPI Number | 1699960278
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Entity Type | Individual
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Provider Name | CELESTE R DAIBER M.ED., LPC, NCC, RPT
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Gender | Female
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 408 JEFFERSON ST
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2824
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Country | US
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Telephone | 636-724-1224
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Fax | 636-724-1226
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Provider Business Mailing Address
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Address Line | 408 JEFFERSON ST
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2824
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Country | US
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Telephone | 636-724-1224
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Fax | 636-724-1226
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2007008532
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License Number State | MO
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