Provider Demographics
NPI:1467666446
Name:STARR, CECILE M (MS, CAC, ICADC, CCBT)
Entity type:Individual
Prefix:
First Name:CECILE
Middle Name:M
Last Name:STARR
Suffix:
Gender:F
Credentials:MS, CAC, ICADC, CCBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ORANGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17859
Mailing Address - Country:US
Mailing Address - Phone:570-524-9477
Mailing Address - Fax:570-524-9492
Practice Address - Street 1:1800 MARKET ST
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-1236
Practice Address - Country:US
Practice Address - Phone:570-524-9477
Practice Address - Fax:570-524-9492
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor