Heidi Alyssa Stark
Heidi Alyssa Stark is a Marriage & Family Therapist in Nampa, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
4024 Ivy DrNampa, ID 83686-8852
Phone: (208) 890-3864
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LMSW-38223 (ID) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X (ID) |
Record details
| NPI number | 1356959787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 22, 2020 |
| Last updated in NPPES | July 22, 2020 |
| Certification date | July 22, 2020 |
| Mailing address | 4024 Ivy Dr, Nampa, ID 83686-8852 |
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