Individual
HEATHER STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SAC-IT
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 756-6545
Mailing address
135 RAINBOW DR, CAPRON, IL 61012-9588
(815) 222-3703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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