Stark, Marilyn Marlaine

Stark, Marilyn Marlaine is an individual health care provider with primary practice located at 515 E Broadway , Council Bluffs IA 51503-4419. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Stark, Marilyn Marlaine can be contacted via phone (712) 322-6833.

Contact Information

Primary practice address
515 E Broadway Council Bluffs IA 51503-4419
Phone: (712) 322-6833
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACADC97038 Iowa
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC00258 Iowa
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHP1648 Iowa

Profile Details

NPI number 1942292636
LBN Legal business name Stark, Marilyn Marlaine
Credentials LMHC ACAPC LMHP LAPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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