Individual
COLE LEE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LIMHP
Contact information
Practice address
10310 N 151ST ST, WAVERLY, NE 68462-1615
(402) 429-6488
Mailing address
10310 N 151ST ST, WAVERLY, NE 68462-1615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1302
NE
101YM0800X
Mental Health Counselor
Primary
9018
NE
101YM0800X
Mental Health Counselor
Primary
—
NE
Other
Enumeration date
01/11/2011
Last updated
04/16/2026
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