Individual
SCOTT DAVID STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
300 W WASHINGTON AVE STE 210B, JACKSON, MI 49201-2160
(517) 344-0913
Mailing address
1508 W MICHIGAN AVE APT 1, JACKSON, MI 49202-4025
(517) 802-0501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/11/2024
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