Individual provider · Type 1 NPI
Candace Brooke Starks, LPC
Professional Counselor · Stone Mountain, GA
NPI number
1649630385
Active
Practice location
5280 Woodland Pass Cir
Stone Mountain, GA 30087-2223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Professional Counselor Primary | 101YP2500X | LPC008327 (GA) |
Professional Counselor: Definition to come...
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About NPI 1649630385
Candace Brooke Starks, LPC's National Provider Identifier is 1649630385, issued on Feb 23, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on Jan 24, 2020.