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Individual
ANN MARIE STARK
Active
Individual
ANN MARIE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPCC/LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000251
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1544
ND
101YM0800X
Mental Health Counselor
0701005841
VA
101YM0800X
Mental Health Counselor
Primary
550-2-15-06-196
ND
Other
Enumeration date
03/16/2015
Last updated
04/14/2015
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