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1548653074 NPI number — ADRIANNA CLAIRE STARCK MS, NCC, LCPC

NPI Number: 1548653074
Health Care Provider/Practitioner: ADRIANNA CLAIRE STARCK MS, NCC, LCPC

Information about “1548653074” NPI (ADRIANNA CLAIRE STARCK MS, NCC, LCPC) exists in 1548653074 in HTML format HTML  |  1548653074 in plain Text format TXT  |  1548653074 in PDF (Portable Document Format) PDF  |  1548653074 in an XML format XML  formats.

NPI Number : 1548653074 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548653074",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STARCK",
    "FirstName": "ADRIANNA",
    "MiddleName": "CLAIRE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, NCC, LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILLOUGHBY",
    "OtherFirstName": "ADRIANNA",
    "OtherMiddleName": "CLAIRE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "400 W MAIN ST STE 203",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMILTON",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59840-2443",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-813-1643",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "400 W MAIN ST STE 203",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAMILTON",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59840",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-813-1643",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/09/2015",
    "LastUpdateDate": "07/12/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "11540",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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