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NPI Code Detail

MEDICARE: MS. CELESTE R DAIBER M.ED., LPC, NCC, RPT

MEDICARE: MS. CELESTE R DAIBER M.ED., LPC, NCC, RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor2007008532MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699960278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CELESTE R DAIBER M.ED., LPC, NCC, RPT
Provider Business Mailing Address
First Line : 408 JEFFERSON ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2824
Country : US
Telephone Number : 636-724-1224
Fax Number : 636-724-1226
Provider Business Practice Location Address
First Line : 408 JEFFERSON ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2824
Country : US
Telephone Number : 636-724-1224
Fax Number : 636-724-1226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2007
Last Update Date : 01/04/2012

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