Individual
BRYAN E. STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S
Contact information
Practice address
108 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
(310) 715-1294
Mailing address
PO BOX 452444, LOS ANGELES, CA 90045-8533
(310) 715-2020
(310) 715-1294
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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