Individual
AMBER STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 WELLINGTON AVE, WILMINGTON, NC 28401
(910) 392-4881
Mailing address
205 MARTIN ST APT 105, WILMINGTON, NC 28401-0002
(910) 622-8130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12342
NC
Other
Enumeration date
08/17/2018
Last updated
01/15/2019
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