Eddie Stark is a Counselor based in Noble, OK. Eddie Stark practices in Oklahoma City, OK. The NPI Number for Eddie Stark is 1700123429 and holds a License No. (Oklahoma).
The current practice location address for Eddie Stark is 10948 N May Ave, Oklahoma City, OK and can be reached out via phone at 405-751-8889.
Location: 10948 N May Ave, Oklahoma City, OK, 73068-0398
Provider Profile Details
NPI Number
1700123429
Provider Name
Eddie Stark
Credential
Provider Entity Type
Individual
Gender
Male
Address
10948 N May Ave, Oklahoma City, OK, 73068-0398
Phone Number
405-751-8889
Fax Number
Provider Enumeration Date
01/15/2013
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | 05 | OK |
Provider Business Practice Location Address Details
Address
10948 N May Ave
City
State
Zip
73120-6223
Phone Number
405-751-8889
Fax Number
Provider Business Mailing Address Details
Address
10948 N May Ave
City
State
Zip
73120-6223
Phone Number
405-751-8889
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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