Scott Stark's National Provider Identifier (NPI) Details
Scott Stark, LPC
NPI: 1215405360
Enumeration Date: 2018-11-07
Last updated: 2024-11-11
Sole Proprietor: NO
Status: active
Postal Address: 300 W WASHINGTON AVE STE 210B, JACKSON, MI
Phone: 517-344-0913
Primary Practice Address: 1508 W MICHIGAN AVE APT 1, JACKSON, MI
Practice's phone: 517-802-0501