Individual
JENNIFER L STARCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
694 CHURCH ST NE, SALEM, OR 97301-2401
(503) 581-5535
(503) 391-5291
Mailing address
694 CHURCH ST NE, SALEM, OR 97301-2401
(503) 581-5535
(503) 391-5291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/21/2010
Last updated
07/15/2016
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