Individual provider · Type 1 NPI

Kathleen Stark, LPC

Professional Counselor · Waterford, MI

NPI number 1699126839 Active

Practice location

6695 Highland Rd Ste 203
Waterford, MI 48327-1968

Call (248) 600-9928 Map

Mailing address

2660 Grandview Blvd
Waterford, MI 48329-2916

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401015298 (MI)

Professional Counselor: Definition to come...

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About NPI 1699126839

Kathleen Stark, LPC's National Provider Identifier is 1699126839, issued on Jun 29, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waterford, MI. The record was last updated on Mar 1, 2024.