Doctor Name: | VALERIE J STARK |
NPI Number: | 1144551722 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 5843 |
Business Practice Address: | 25009 Us Highway 270 Howe, OK - 749407221 |
Business Phone Number: | 9186584421 |
Business Fax Number: | |
Mailing Address: | 25009 Us Highway 270, HOWE |
State: | OK |
Postal Code: | 749407221 |
Phone Number: | 9186584421 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2010 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5843 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |