Individual provider · Type 1 NPI

Jolene Stark, LADC

Addiction (Substance Use Disorder) Counselor · Bloomington, MN

NPI number 1023698743 Active

Practice location

1101 E 78th St Ste 100
Bloomington, MN 55420-1402

Call (952) 854-5034 Map

Mailing address

17088 Adelmann St SE Apt 308
Prior Lake, MN 55372-2281

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023698743

Jolene Stark, LADC's National Provider Identifier is 1023698743, issued on Apr 8, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, MN. The record was last updated on Apr 8, 2021.