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ABIGAIL STARK
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1144690959
Individual Registrant: ABIGAIL STARK
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
45 ATWATER RD LANSING, NY 14882 US
Tel: 607-592-5977 Fax: --
Tel: 607-592-5977 Fax: --
Contact information for business:
45 ATWATER RD LANSING, NY 14882-9096 US
Tel: 607-592-5977 Fax: --
Tel: 607-592-5977 Fax: --
Registration Information:
NPI: 1144690959
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | NY | 081205 |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | NY | 081205 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
