Individual provider · Type 1 NPI

Glen Howard Stark

Professional Counselor · Bozeman, MT

NPI number 1083486211 Active

Practice location

20 Cornerstone Way
Bozeman, MT 59718-6004

Call (406) 209-8763 Map

Mailing address

361 Peace Pipe Dr
Bozeman, MT 59715-1769

Other practice locations

  • 1716 W Main St Ste 8C, Bozeman, MT 59715-6821 · (406) 813-0301

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XBBH-LCPC-LIC-79275 (MT)
Professional Counselor Primary 101YP2500XBBH-LCPC-LIC-79275 (MT)

Professional Counselor: Definition to come...

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About NPI 1083486211

Glen Howard Stark's National Provider Identifier is 1083486211, issued on Oct 23, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bozeman, MT. The record was last updated on Jun 23, 2025.