Individual
KATHLEEN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6695 HIGHLAND RD STE 203, WATERFORD, MI 48327-1968
(248) 600-9928
Mailing address
2660 GRANDVIEW BLVD, WATERFORD, MI 48329-2916
(248) 933-6352
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015298
MI
Other
Enumeration date
06/29/2016
Last updated
03/01/2024
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