Wade M Stark
NPI #1801430988 in Charleston, Illinois
Provider Information
- NPI Number
- 1801430988
- Entity Type
- Individual
- Name
- Wade M Stark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 1, 2019
- Last Updated
- Jun 12, 2025
Practice Location
- Address
- 626 W LINCOLN AVE
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2444
- Phone
- (217) 345-7702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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