Doctor Name: | LAURA ANNE STARRETT |
NPI Number: | 1477836047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW, CDCIII |
License Number: | 981129 |
Business Practice Address: | 600 Freedom Dr Napoleon, OH - 435459038 |
Business Phone Number: | 4195991660 |
Business Fax Number: | 4195928336 |
Mailing Address: | 1518 State Route 15, BRYAN |
State: | OH |
Postal Code: | 435069633 |
Phone Number: | 4196361263 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2011 |
NPI Last Update Date: | 09/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 981129 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |