Individual provider · Type 1 NPI

Juliann Fae Stark

Professional Counselor · Woodbury, MN

NPI number 1740980408 Active

Practice location

1811 Weir Dr Ste 270
Woodbury, MN 55125-6741

Call (651) 714-9646 Map

Fax (651) 714-9647

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5171 (MN)

Professional Counselor: Definition to come...

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About NPI 1740980408

Juliann Fae Stark's National Provider Identifier is 1740980408, issued on Mar 9, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Woodbury, MN. The record was last updated on Oct 7, 2025.