Individual
LEAH STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
5660 CAITO DR STE 126, INDIANAPOLIS, IN 46226-1368
(317) 296-5632
Mailing address
6536 STONE CROSSING DR APT D, INDIANAPOLIS, IN 46227-2293
(607) 427-7963
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002279A
IN
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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