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Individual

DR. CHARLES A STARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 639-6831
Mailing address
PO BOX 50758, FORT MYERS, FL 33994-0758
(941) 639-8300
(941) 639-6831

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH1618
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6229695
UBH
FL
01
Z2356
BLUE CROSS
FL
Enumeration date
09/02/2006
Last updated
04/29/2008
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