Individual provider · Type 1 NPI

Kylie A. Stark

Professional Counselor · Dickinson, ND

NPI number 1922760776 Active

Practice location

1463 I94 Business Loop E
Dickinson, ND 58601-6434

Call (701) 227-7506 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Specialist 174400000XNone listed
Professional Counselor Primary 101YP2500X1211-7-1-22 (ND)

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About NPI 1922760776

Kylie A. Stark's National Provider Identifier is 1922760776, issued on Oct 8, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dickinson, ND. The record was last updated on Jul 24, 2024.