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Jaxson Layne Stark
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NPI Number Detailed Information
Provider Information:
| Name: | Jaxson Layne Stark |
| Gender: | M |
| Provider License Number If Given: | LCPC 5501 |
NPI Information:
| NPI: | 1144559527 |
| Entity Type(Individual or Organization): | 1-ind |
| Enumeration Date: | 12/15/2009 |
| Last Update Date: | 2/21/2017 |
Provider Business Mailing Address:
| Address: | PO BOX 708 3770 N HADERLIEIona, ID 83427 |
| Phone Number: | 2083600067 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 3770 N HADERLIE Iona, ID 83427 |
| Phone Number: | 2083600067 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 101YM0800X |
| Secondary (if any): | |
| State: | ID |
Top Doctors in ID
About Jaxson Layne Stark
Jaxson Layne Stark ( JAXSON LAYNE STARK ) is Definition Counselor Physician in Iona, ID.
The NPI Number for Jaxson Layne Stark is 1144559527.
The current location address for Jaxson Layne Stark is 3770 N HADERLIE Iona, ID 83427 and the contact number is 2083600067 and fax number is .
The mailing address for Jaxson Layne Stark is PO BOX 708 3770 N HADERLIE Iona, ID 83427- 2083600067 (mailing address contact number - 2083600067).
Definition to come...
Provider Business Location on Map
FAQs:
What is the NPI Number for Jaxson Layne Stark ?
Answer: The NPI Number for Jaxson Layne Stark is 1144559527
Where is Jaxson Layne Stark located?
Answer: Jaxson Layne Stark is located at 3770 N HADERLIE Iona, ID 83427.
What is the specialty for Jaxson Layne Stark ?
Answer: The Specialty of Jaxson Layne Stark is Definition Counselor Physician.
Are there any online reviews for Jaxson Layne Stark ?
Answer: Not yet!
Are there any other health care providers in Iona, ID?
Answer: Yes, there are given below...
More Providers in Iona , ID
Therapy For Life
Occupational Therapist
NPI Number: 1225162597
Address: 4893 CAMAS CREEK CIRCLE Iona, ID 83427 , Phone: 2083510651
Occupational Therapist
NPI Number: 1225162597
Address: 4893 CAMAS CREEK CIRCLE Iona, ID 83427 , Phone: 2083510651
Brad Archibald
Occupational Therapist
NPI Number: 1902927056
Address: 4893 CAMAS CREEK CIR. Iona, ID 83427 , Phone: 2083510651
Occupational Therapist
NPI Number: 1902927056
Address: 4893 CAMAS CREEK CIR. Iona, ID 83427 , Phone: 2083510651
Jaxson Layne Stark
Mental Health Counselor
NPI Number: 1144559527
Address: 3770 N HADERLIE Iona, ID 83427 , Phone: 2083600067
Mental Health Counselor
NPI Number: 1144559527
Address: 3770 N HADERLIE Iona, ID 83427 , Phone: 2083600067
Ryan Hatch
Behavior Technician
NPI Number: 1104160456
Address: 5243 STEELE AVE Iona, ID 83427 , Phone: 2085896258
Behavior Technician
NPI Number: 1104160456
Address: 5243 STEELE AVE Iona, ID 83427 , Phone: 2085896258
Karen Cruz
Social Worker
NPI Number: 1659822484
Address: 3846 N MAIN Iona, ID 83427 , Phone: 2085695225
Social Worker
NPI Number: 1659822484
Address: 3846 N MAIN Iona, ID 83427 , Phone: 2085695225
Anna Marie Hansen
Counselor
NPI Number: 1023738804
Address: 5186 SCORESBY AVE Iona, ID 83427 , Phone: 2085208392
Counselor
NPI Number: 1023738804
Address: 5186 SCORESBY AVE Iona, ID 83427 , Phone: 2085208392
Jaxson Layne Stark in Other Directories
Provider don't have other directory link yet.
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