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Individual

HANNAH GRACE STARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
132 E GRAND RIVER AVE STE 205, BRIGHTON, MI 48116-1510
(810) 962-0616
Mailing address
61343 DEAN DR, SOUTH LYON, MI 48178-1580
(810) 620-6164

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401223779
MI
101YM0800X
Mental Health Counselor
Primary
6451019515
MI
101YP2500X
Professional Counselor
Primary
6401223779
MI

Other

Enumeration date
07/21/2021
Last updated
04/20/2026
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