| Clint Starks, SACIT, LPCIT | |
|
480 Underwood Ave, Montello, WI 53949-9248 | |
| (608) 297-3181 | |
| (608) 297-2148 |
| Full Name | Clint Starks |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 480 Underwood Ave, Montello, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437415486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16564130 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 1577-226 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Starks, SACIT, LPCIT 480 Underwood Ave, Montello, WI 53949-9248 Ph: (608) 297-3181 | Clint Starks, SACIT, LPCIT 480 Underwood Ave, Montello, WI 53949-9248 Ph: (608) 297-3181 |
Tiffany Schmit, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Underwood Ave, Montello, WI 53949 Phone: 608-297-3181 Fax: 608-297-2148 | |
James A Webb, CSAC, ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Underwood Ave, Montello, WI 53949 Phone: 608-297-3181 Fax: 608-297-2148 | |
Jacob J Lichman Jr., CSAC IDP/AT Counselor Medicare: Not Enrolled in Medicare Practice Location: N3829 State Road 22, Montello, WI 53949 Phone: 608-297-2085 Fax: 608-297-2426 | |
Lisa Dedrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Underwood Ave, Montello, WI 53949 Phone: 608-297-3181 | |
Stacy L. Webb, RN, CSAC, ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Underwood Ave, Montello, WI 53949 Phone: 608-297-3181 Fax: 608-297-2148 |