| Charlisa Martrell Stark, PLPC | |
|
108 W Jasper St, Versailles, MO 65084-1020 | |
| (573) 378-6833 | |
| Not Available |
| Full Name | Charlisa Martrell Stark |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 108 W Jasper St, Versailles, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902931447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2006033184 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charlisa Martrell Stark, PLPC 18 Puckett Rd, Eldon, MO 65026-4634 Ph: (573) 280-5065 | Charlisa Martrell Stark, PLPC 108 W Jasper St, Versailles, MO 65084-1020 Ph: (573) 378-6833 |
Mrs. Trisha Robinson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Jasper St, Versailles, MO 65084 Phone: 573-378-6833 Fax: 573-378-6823 | |
Doris Elliott, LPC Counselor Medicare: Medicare Enrolled Practice Location: 112 N Highway 5, Versailles, MO 65084 Phone: 573-378-6222 | |
Raven Brooke Eckhoff, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N Highway 5, Versailles, MO 65084 Phone: 573-378-6222 | |
Lana L Whitehead, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 112 N State Highway 5, Versailles, MO 65084 Phone: 573-378-6222 | |
Mrs. Ida Mae Suttmoller, MA LCSW CASAC Counselor Medicare: Medicare Enrolled Practice Location: 108 West Jasper, Versailles, MO 65084 Phone: 573-378-6833 Fax: 573-378-6823 |