Provider Demographics
NPI:1437792363
Name:STARNES, CARIE
Entity Type:Individual
Prefix:
First Name:CARIE
Middle Name:
Last Name:STARNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:ALTA
Mailing Address - State:CA
Mailing Address - Zip Code:95701-0512
Mailing Address - Country:US
Mailing Address - Phone:530-388-0781
Mailing Address - Fax:
Practice Address - Street 1:208 PROVIDENCE MINE RD STE 122
Practice Address - Street 2:
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2955
Practice Address - Country:US
Practice Address - Phone:530-277-2046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-23
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical