Individual provider · Type 1 NPI
Cole Lee Stark, M.A., LIMHP
Mental Health Counselor · Waverly, NE
NPI number
1740585405
Active
Practice location
10310 N 151st St
Waverly, NE 68462-1615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1302 (NE) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Waverly
About NPI 1740585405
Cole Lee Stark, M.A., LIMHP's National Provider Identifier is 1740585405, issued on Jan 11, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waverly, NE. The record was last updated on Apr 16, 2026.