Jolene Stark, LADC
NPI #1023698743 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1023698743
- Entity Type
- Individual
- Name
- Jolene Stark, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Apr 8, 2021
- Last Updated
- Apr 8, 2021
Practice Location
- Address
- 1101 E 78TH ST STE 100
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-1402
- Phone
- (952) 854-5034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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