person
Clint Starks, SACIT,LPCIT
Professional Counselor in Montello, Wisconsin
NPI 1437415486

Clint Starks is a Professional Counselor based in Montello, WI and is specialized in Professional. Clint Starks practices in Montello, WI and has the professional credentials of SACIT,LPCIT. The NPI Number for Clint Starks is 1437415486 and holds a License No. 16564130 (Wisconsin).

The current practice location address for Clint Starks is 480 Underwood Ave, Montello, WI and can be reached out via phone at 608-297-3181 and via fax at 608-297-2148.

Location: 480 Underwood Ave, Montello, WI, 53949-9248
person
Provider Profile Details
NPI Number
1437415486
Provider Name
Clint Starks
Credential
SACIT,LPCIT
Provider Entity Type
Individual
Gender
Male
Address
480 Underwood Ave, Montello, WI, 53949-9248
Phone Number
608-297-3181
Fax Number
608-297-2148
Provider Enumeration Date
04/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
480 Underwood Ave
City
State
Zip
53949-9248
Phone Number
608-297-3181
Fax Number
608-297-2148
person
Provider Business Mailing Address Details
Address
480 Underwood Ave
City
State
Zip
53949-9248
Phone Number
608-297-3181
Fax Number
608-297-2148
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1577-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16564130 (Wisconsin)
Definition
Definition to come...
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