Individual provider · Type 1 NPI
Heather Stark, MS, SAC-IT
Addiction (Substance Use Disorder) Counselor · Janesville, WI
NPI number
1376358887
Active
Practice location
903 Mineral Point Ave
Janesville, WI 53548-2970
Mailing address
135 Rainbow Dr
Capron, IL 61012-9588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Robert A. Gibson, CSACAddiction (Substance Use Disorder) Counselor Janesville, WI NPI 1225204688
- Raymond HarrisonAddiction (Substance Use Disorder) Counselor Janesville, WI NPI 1225451461
- Sam Paul Romano Jr., MSW LCSWAddiction (Substance Use Disorder) Counselor Janesville, WI NPI 1255348314
About NPI 1376358887
Heather Stark, MS, SAC-IT's National Provider Identifier is 1376358887, issued on Feb 11, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Janesville, WI. The record was last updated on Feb 11, 2025.