Doctor Name: | MS. SHERYL LYNN STARBUCK |
NPI Number: | 1033363809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4166 |
Business Practice Address: | 825 N 2nd St Montrose, CO - 814013728 |
Business Phone Number: | 9702494109 |
Business Fax Number: | 9706922263 |
Mailing Address: | 825 N 2nd St, MONTROSE |
State: | CO |
Postal Code: | 814013728 |
Phone Number: | 9702494109 |
Fax Number: | 9706922263 |
NPI Enumeration Date: | 11/06/2008 |
NPI Last Update Date: | 11/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |