Individual
KRISTIN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
650 SUN TEMPLE DR, MADISON, AL 35758-8621
(618) 443-7482
Mailing address
650 SUN TEMPLE DR, MADISON, AL 35758-8621
(618) 443-7482
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1496
TN
106H00000X
Marriage & Family Therapist
Primary
L644
AL
Other
Enumeration date
06/07/2018
Last updated
07/23/2024
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