WADE 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)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 2011

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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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