Elise Mae Stark, MA, LPCC, CEDS-C
NPI #1003327735 in Los Angeles, California
Provider Information
- NPI Number
- 1003327735
- Entity Type
- Individual
- Name
- Elise Mae Stark, MA, LPCC, CEDS-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPCC, CEDS-C
- Enumeration Date
- Oct 20, 2017
- Last Updated
- Jul 25, 2024
Practice Location
- Address
- 2001 S BARRINGTON AVE
- City
- Los Angeles
- State
- California
- ZIP Code
- 90025-5363
- Phone
- (323) 379-2147
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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