Individual
ELISE MAE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, CEDS-C
Contact information
Practice address
2001 S BARRINGTON AVE, LOS ANGELES, CA 90025-5363
(323) 379-2147
Mailing address
2001 S BARRINGTON AVE STE 215, LOS ANGELES, CA 90025-5385
(715) 441-9655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC4458
CA
Other
Enumeration date
10/20/2017
Last updated
07/25/2024
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