Individual provider · Type 1 NPI
Elise A. Stark, LPC
Professional Counselor · Hartford, CT
NPI number
1477036424
Active
Practice location
1429 Park Street, Reset Floor One
Hartford, CT 06106-0700
Fax (866) 285-7768
Mailing address
98 Campbell Ave
Vernon, CT 06066-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 3517 (CT) |
Professional Counselor: Definition to come...
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About NPI 1477036424
Elise A. Stark, LPC's National Provider Identifier is 1477036424, issued on Sep 14, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hartford, CT. The record was last updated on Sep 14, 2018.