| Scott David Stark, LPC | |
|
300 W Washington Ave Ste 210b, Jackson, MI 49201-2160 | |
| (517) 344-0913 | |
| Not Available |
| Full Name | Scott David Stark |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 300 W Washington Ave Ste 210b, Jackson, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215405360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Irwin Counseling Service Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164946422 PECOS PAC ID: 3971975004 Enrollment ID: O20230217001367 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott David Stark, LPC 1508 W Michigan Ave Apt 1, Jackson, MI 49202-4025 Ph: (517) 802-0501 | Scott David Stark, LPC 300 W Washington Ave Ste 210b, Jackson, MI 49201-2160 Ph: (517) 344-0913 |
Mrs. Juliana Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 Fern Ave, Jackson, MI 49202 Phone: 517-247-2033 | |
Ms. Deborah Ann Mcdonald, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Michigan Ave, Jackson, MI 49201 Phone: 517-783-2732 | |
Mrs. Rosemary Jordon Beals, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Jackson, MI 49202 Phone: 517-783-5334 Fax: 517-783-6064 | |
Eric G Kelly, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6692 Spring Arbor Rd, Jackson, MI 49201 Phone: 517-750-3869 | |
Mr. Michael Lee Freytag, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-474-3793 Fax: 517-796-4561 | |
Christian L Mccaslin, LPC, MA Counselor Medicare: Medicare Enrolled Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-780-3336 Fax: 517-796-4561 | |
Carlos Alfredo Larios, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 1st St, Jackson, MI 49201 Phone: 517-998-4673 Fax: 517-998-0005 |