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CONNOR STARK MS MAS LAMFT NPI 1386399483


NPI Information

NPI: 1386399483
Provider Name: CONNOR STARK, MS, MAS, LAMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
3048 E BASELINE RD STE 117
MESA, AZ
ZIP 85204
Phone: (480) 634-3807
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Connor Stark, MS, MAS, LAMFT is a marriage family therapist in Mesa, AZ. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Connor Stark, MS, MAS, LAMFT NPI is 1386399483. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3048 E BASELINE RD STE 117
MESA, AZ
ZIP 85204-288
Phone: (480) 634-3807

The enumeration date for this NPI number is 2/16/2022 and was last updated on 2/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistLAMFT-10784ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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