Individual
MR. JONATHAN SCOTT SCHREIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
147 COVENTRY RD, MANSFIELD CENTER, CT 06250-1439
(860) 931-5054
(888) 502-4995
Mailing address
147 COVENTRY RD, MANSFIELD CENTER, CT 06250-1439
(860) 931-5054
(888) 502-4995
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001127
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004262408
—
CT
01
—
269952
MHN
CT
01
—
ANC1482
OXFORD HEALTH PLAN
CT
01
—
CTGA000438 B751773
SAGA
CT
01
—
CTGA000438 B810006
SAGA
CT
Enumeration date
10/16/2006
Last updated
09/04/2015
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