Individual
MR. CHANNING JAMAL STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 E LEE ST STE C, ENTERPRISE, AL 36330-2477
(334) 432-6035
(334) 475-2760
Mailing address
805 E LEE ST STE C, ENTERPRISE, AL 36330-2477
(334) 432-6035
(334) 475-2760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05588
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/14/2022
Last updated
07/30/2025
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