Individual
MRS. COLLETTE VIKAY STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW,CADC
Contact information
Practice address
1311 N DIXIE HWY, ELIZABETHTOWN, KY 42701-2621
(270) 765-5992
Mailing address
1805 ORIOLE DR, ELIZABETHTOWN, KY 42701-5520
(270) 234-8163
(270) 234-8163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0386
KY
1041C0700X
Clinical Social Worker
Primary
5326
KY
Other
Enumeration date
09/29/2009
Last updated
03/16/2015
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