David John Stark
NPI #1194159574 in Longview, Washington
Provider Information
- NPI Number
- 1194159574
- Entity Type
- Individual
- Name
- David John Stark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 21, 2013
- Last Updated
- Aug 21, 2013
Practice Location
- Address
- 921 14TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2316
- Phone
- (360) 423-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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