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Individual
MR. ROBERT STARK
Active
Individual
MR. ROBERT STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YM0800X
Mental Health Counselor
Primary
11425200-6004
UT
101YM0800X
Mental Health Counselor
—
NULL
101YP2500X
Professional Counselor
900
CA
Other
Enumeration date
06/11/2008
Last updated
01/27/2025
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