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Search › Idaho › Mental Health Counselor

Jaxson Stark, MS

NPI 1144559527 · on the registry since 2009 · sole proprietor

Practice

Address
2705 E 17th St
Ammon, ID 83406
Phone
(208) 360-0067
Organisation at this address
Pearl Health Clinic
Pearl Health Clinic
Genoa Healthcare Llc
Pearl Primary Care Pllc
Balance And Renewal Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
117

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho