Individual provider · Type 1 NPI

Jenna Stark

Addiction (Substance Use Disorder) Counselor · Marshalltown, IA

NPI number 1710652607 Active

Practice location

9 N 4th Ave
Marshalltown, IA 50158-1836

Fax (641) 752-7211

Mailing address

PO Box 1453
Marshalltown, IA 50158-1453

Other practice locations

  • 2413 Edgington Ave, Eldora, IA 50627-1541 · (641) 752-5421
  • 413 Mcclellan St, Tama, IA 52339-2315 · (641) 752-5421
  • 611 4th Ave, Grinnell, IA 50112-1920 · (641) 752-5421

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1710652607

Jenna Stark's National Provider Identifier is 1710652607, issued on Aug 12, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marshalltown, IA. The record was last updated on Aug 12, 2021.