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WADE M STARK
Mental Health Counselor
NPI: 1801430988IndividualAccepts Medicare
Specialties, Licenses & Credentials
Professional Counselor
Counselor — Professional
Code: 101YP2500X
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
180013660(IL)
Education
OTHER
Class of 2011
Contact & Hours
- Address
- 626 W LINCOLN AVE
CHARLESTON, IL 61920 - Phone
- (217) 345-7702
Quick Facts
- NPI
- 1801430988
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 15
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