Individual
CHRISTOPHER STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5945 COTTONWOOD DR, YPSILANTI, MI 48197-8203
(817) 773-8161
Mailing address
5945 COTTONWOOD DR, YPSILANTI, MI 48197-8203
(817) 773-8161
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401224683
MI
101YP2500X
Professional Counselor
65146
TX
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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