Provider Demographics
NPI:1487475224
Name:STE. CLAIRE, CELESTINA (MA, EDD)
Entity type:Individual
Prefix:
First Name:CELESTINA
Middle Name:
Last Name:STE. CLAIRE
Suffix:
Gender:F
Credentials:MA, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 WOODGREEN LN
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-3636
Mailing Address - Country:US
Mailing Address - Phone:856-956-9473
Mailing Address - Fax:
Practice Address - Street 1:1214 WOODGREEN LN
Practice Address - Street 2:
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-3636
Practice Address - Country:US
Practice Address - Phone:856-956-9473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00303900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty