Individual provider · Type 1 NPI
Diane Jean Stark, MSSW LCSW
Mental Health Counselor · Brentwood, TN
NPI number
1780712943
Active
Practice location
5034 Thoroughbred Ln Ste D
Brentwood, TN 37027-4231
Fax (615) 507-2085
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 746 (TN) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1780712943
Diane Jean Stark, MSSW LCSW's National Provider Identifier is 1780712943, issued on Mar 1, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brentwood, TN. The record was last updated on Oct 13, 2007.