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Cassi Stark, LIMHP
Mental Health Counselor in South Sioux City, Nebraska
NPI 1912102310

Cassi Stark is a Mental Health Counselor based in Ponca, NE and is specialized in Mental Health. Cassi Stark practices in South Sioux City, NE and has the professional credentials of LIMHP. The NPI Number for Cassi Stark is 1912102310 and holds a License No. 1812 (Nebraska).

The current practice location address for Cassi Stark is 1000 W 29Th St Ste 230, South Sioux City, NE and can be reached out via phone at 402-913-0552.

Location: 1000 W 29Th St Ste 230, South Sioux City, NE, 68770-0894
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912102310
Provider Name
Cassi Stark
Credential
LIMHP
Provider Entity Type
Individual
Gender
Female
Address
1000 W 29Th St Ste 230, South Sioux City, NE, 68770-0894
Phone Number
402-913-0552
Fax Number
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10025953600 05 NE
institution
Provider Business Practice Location Address Details
Address
1000 W 29Th St Ste 230
City
South Sioux City
State
Nebraska
Zip
68776-3852
Phone Number
402-913-0552
Fax Number
person
Provider Business Mailing Address Details
Address
1000 W 29Th St Ste 230
City
South Sioux City
State
Nebraska
Zip
68776-3852
Phone Number
402-913-0552
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1812 (Nebraska)
Definition
Definition to come...
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