Individual provider · Type 1 NPI

Jason Stark, LMHC, CRC

Mental Health Counselor · Des Moines, IA

NPI number 1225596935 Active

Practice location

4910 Urbandale Ave Ste 304
Des Moines, IA 50310-2661

Call (515) 669-8111 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X089993 (IA)

Mental Health Counselor: Definition to come...

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About NPI 1225596935

Jason Stark, LMHC, CRC's National Provider Identifier is 1225596935, issued on Mar 12, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Des Moines, IA. The record was last updated on Mar 12, 2019.