Individual
ACEA STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
479 COTTER ST, RINGGOLD, GA 30736-2337
(706) 937-5180
Mailing address
479 COTTER ST, RINGGOLD, GA 30736-2337
(706) 937-5180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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