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Individual

MRS. MARILYN MARLAINE STARK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LMHC ACAPC LMHP LAPC

Contact information

Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-6833
Mailing address
2327 DODGE CT, PLATTSMOUTH, NE 68048-4816
(402) 235-3896

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACADC97038
IA
101YM0800X
Mental Health Counselor
LMHC00258
IA
101YM0800X
Mental Health Counselor
Primary
LMHP1648
IA

Other

Enumeration date
08/18/2005
Last updated
09/11/2025
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