person
Wade Stark
Professional Counselor in Champaign, Illinois
NPI 1801430988

Wade Stark is a Professional Counselor based in Champaign, IL and is specialized in Professional. Wade Stark practices in Champaign, IL. The NPI Number for Wade Stark is 1801430988 and holds a License No. (Illinois).

The current practice location address for Wade Stark is 309 W Clark St, Champaign, IL and can be reached out via phone at 217-398-9066 and via fax at 217-398-9077.

Location: 309 W Clark St, Champaign, IL, 61820-4637
person
Provider Profile Details
NPI Number
1801430988
Provider Name
Wade Stark
Credential
Provider Entity Type
Individual
Gender
Male
Address
309 W Clark St, Champaign, IL, 61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
Provider Enumeration Date
11/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
309 W Clark St
City
State
Zip
61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
person
Provider Business Mailing Address Details
Address
309 W Clark St
City
State
Zip
61820-4637
Phone Number
217-398-9066
Fax Number
217-398-9077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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