Individual
JADA STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 E GEORGIA AVE STE 3, RUSTON, LA 71270-3901
(318) 242-0730
Mailing address
2010 PARK RIDGE LN, RUSTON, LA 71270-6705
(318) 243-3818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
09/07/2022
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