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David John Stark
Mental Health Counselor in Longview, Washington
NPI 1194159574

David John Stark is a Mental Health Counselor based in Kelso, WA and is specialized in Mental Health. David John Stark practices in Longview, WA. The NPI Number for David John Stark is 1194159574 and holds a License No. (Washington).

The current practice location address for David John Stark is 921 14Th Ave, Longview, WA and can be reached out via phone at 360-423-0203.

Location: 921 14Th Ave, Longview, WA, 98626-1127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194159574
Provider Name
David John Stark
Credential
Provider Entity Type
Individual
Gender
Male
Address
921 14Th Ave, Longview, WA, 98626-1127
Phone Number
360-423-0203
Fax Number
Provider Enumeration Date
08/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
921 14Th Ave
City
Longview
State
Washington
Zip
98632-2316
Phone Number
360-423-0203
Fax Number
person
Provider Business Mailing Address Details
Address
921 14Th Ave
City
Longview
State
Washington
Zip
98632-2316
Phone Number
360-423-0203
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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