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Mr. Channing Jamal Starks
Mental Health Counselor in Enterprise, Alabama
NPI 1699487389

Channing Jamal Starks is a Mental Health Counselor based in Enterprise, AL and is specialized in Mental Health. Channing Jamal Starks practices in Enterprise, AL. The NPI Number for Channing Jamal Starks is 1699487389 and holds a License No. (Alabama).

The current practice location address for Channing Jamal Starks is 830 N Ouida St, Enterprise, AL and can be reached out via phone at 334-432-6035.

Location: 830 N Ouida St, Enterprise, AL, 36330-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699487389
Provider Name
Channing Jamal Starks
Credential
Provider Entity Type
Individual
Gender
Male
Address
830 N Ouida St, Enterprise, AL, 36330-2704
Phone Number
334-432-6035
Fax Number
Provider Enumeration Date
12/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
830 N Ouida St
City
Enterprise
State
Alabama
Zip
36330-2704
Phone Number
334-432-6035
Fax Number
person
Provider Business Mailing Address Details
Address
830 N Ouida St
City
Enterprise
State
Alabama
Zip
36330-2704
Phone Number
334-432-6035
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ALC04672 (Alabama)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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