Individual provider · Type 1 NPI
Heidi Alyssa Stark
Mental Health Counselor · Nampa, ID
NPI number
1356959787
Active
Practice location
4024 Ivy Dr
Nampa, ID 83686-8852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | LMSW-38223 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1356959787
Heidi Alyssa Stark's National Provider Identifier is 1356959787, issued on Jul 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Jul 22, 2020.