Individual provider · Type 1 NPI

Chad A. Stark, CMHC

Mental Health Counselor · Layton, UT

NPI number 1912427048 Active

Practice location

2317 N Hill Field Rd Ste 103
Layton, UT 84041-4782

Call (801) 525-4645 Map

Mailing address

1723 Swift Creek Dr
Layton, UT 84041-7373

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X91017016004 (UT)

Mental Health Counselor: Definition to come...

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About NPI 1912427048

Chad A. Stark, CMHC's National Provider Identifier is 1912427048, issued on Jun 20, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Layton, UT. The record was last updated on Jun 20, 2017.