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Adam Stark, MALCMHCLADC
Mental Health Counselor in Brattleboro, Vermont
NPI 1679503148

Adam Stark is a Mental Health Counselor based in Brattleboro, VT and is specialized in Mental Health. Adam Stark practices in Brattleboro, VT and has the professional credentials of MALCMHCLADC. The NPI Number for Adam Stark is 1679503148 and holds a License No. 068-0000681 (Vermont).

The current practice location address for Adam Stark is 122 Birge St 2Nd Fl., Brattleboro, VT and can be reached out via phone at 802-254-9719 and via fax at 802-254-9719.

Location: 122 Birge St 2Nd Fl., Brattleboro, VT, 05301
person
Provider Profile Details
NPI Number
1679503148
Provider Name
Adam Stark
Credential
MALCMHCLADC
Provider Entity Type
Individual
Gender
Male
Address
122 Birge St 2Nd Fl., Brattleboro, VT, 05301
Phone Number
802-254-9719
Fax Number
802-254-9719
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30424122 05 NH
1012381 05 VT
institution
Provider Business Practice Location Address Details
Address
122 Birge St 2Nd Fl.
City
State
Zip
05301
Phone Number
802-254-9719
Fax Number
802-254-9719
person
Provider Business Mailing Address Details
Address
122 Birge St 2Nd Fl.
City
State
Zip
05301
Phone Number
802-254-9719
Fax Number
802-254-9719
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
068-0000681 (Vermont)
Definition
Definition to come...
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