| Wade M Stark, | |
|
626 W Lincoln Ave, Charleston, IL 61920-2444 | |
| (217) 345-7702 | |
| (217) 345-7705 |
| Full Name | Wade M Stark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 626 W Lincoln Ave, Charleston, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801430988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 180013660 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wade M Stark, 626 W Lincoln Ave, Charleston, IL 61920-2444 Ph: (217) 345-7702 | Wade M Stark, 626 W Lincoln Ave, Charleston, IL 61920-2444 Ph: (217) 345-7702 |
Makenzie Barr, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Monroe Ave, Charleston, IL 61920 Phone: 217-294-6727 Fax: 217-294-6727 | |
Mrs. Francesca Lynn Ehlers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W State St, Charleston, IL 61920 Phone: 217-345-4642 Fax: 217-210-0227 | |
Michael Parrish Dellinger, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Monroe Ave, Charleston, IL 61920 Phone: 217-294-6727 | |
John H Bulthouse Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 W Lincoln Ave Ste 8, Charleston, IL 61920 Phone: 217-254-6582 | |
Crystal Edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 903 W Lincoln Ave, Charleston, IL 61920 Phone: 217-348-8384 | |
Shelby Renee Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Victoria Ln, Charleston, IL 61920 Phone: 217-508-8080 Fax: 217-512-2288 | |
Amanda Fedder, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W State St, Charleston, IL 61920 Phone: 217-345-4642 |