Individual
AMY JEAN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 NW 72ND ST STE 234, WARR ACRES, OK 73132-5920
(405) 367-3927
Mailing address
1309 GARDEN GATE DR # B, YUKON, OK 73099-7471
(405) 623-0988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
07094
OK
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/26/2017
Last updated
06/28/2023
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