Individual provider · Type 1 NPI

Wade M. Stark

Mental Health Counselor · Charleston, IL

NPI number 1801430988 Active

Practice location

626 W Lincoln Ave
Charleston, IL 61920-2444

Call (217) 345-7702 Map

Fax (217) 345-7705

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Mental Health Counselor Primary 101YM0800X180013660 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1801430988

Wade M. Stark's National Provider Identifier is 1801430988, issued on Nov 1, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, IL. The record was last updated on Jun 12, 2025.