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Organization
STARKE BEHAVIORAL HEALTH ASSOCIATION INC
Active
Organization
STARKE BEHAVIORAL HEALTH ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE C STARKE II LPC (EXECUTIVE DIRECTOR)
(434) 292-1104
Entity
Organization
Contact information
Practice address
120 W BROAD ST, BLACKSTONE, VA 23824-1710
(434) 292-1104
(434) 292-1134
Mailing address
120 W BROAD ST, BLACKSTONE, VA 23824-1710
(434) 292-1104
(434) 292-1134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003843
VA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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