Individual
MRS. SARAH LOUISE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
487 CARLISLE DR STE B, HERNDON, VA 20170-4899
(571) 216-0811
Mailing address
487 CARLISLE DR STE B, HERNDON, VA 20170-4899
(571) 216-0811
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004489
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701004489
VIRGINIA BOARD OF COUNSELING
VA
Enumeration date
04/30/2009
Last updated
04/30/2009
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