Individual provider · Type 1 NPI

David John Stark

Mental Health Counselor · Longview, WA

NPI number 1194159574 Active

Practice location

921 14th Ave
Longview, WA 98632-2316

Mailing address

408 NW 5th Ave
Kelso, WA 98626-1127

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194159574

David John Stark's National Provider Identifier is 1194159574, issued on Aug 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Aug 21, 2013.