Individual
CHAD A STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
2317 N HILL FIELD RD STE 103, LAYTON, UT 84041-4782
(801) 525-4645
Mailing address
1723 SWIFT CREEK DR, LAYTON, UT 84041-7373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91017016004
UT
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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