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MRS. MARILYN MARLAINE STARK LMHC ACAPC LMHP LAPC

Addiction Substance Use Disorder

Council Bluffs, Iowa

Provider NPI: 1942292636

Provider Information:
MRS. MARILYN MARLAINE STARK LMHC ACAPC LMHP LAPC
Gender: F


Practice Location:
515 E BROADWAY  COUNCIL BLUFFS, IA 51503 US
Tel: 712-322-6833  Fax: --

Business Mailing Address:
2327 DODGE CT  PLATTSMOUTH, NE 68048 US
Tel: 402-235-3896  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
IAACADC97038
X101YM0800XBehavioral Health & Social Service Providers
Counselor
IALMHP1648
X101YM0800XBehavioral Health & Social Service Providers
Counselor
IALMHC00258









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