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General NPI Number Information
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NPI Number | 1679431852
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Entity Type | Organization
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Legal Business Name | J STARCK LCSW COUNSELING AND CONSULTATION SERVICES LLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 780 COMMERCIAL ST SE STE 201
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City | SALEM
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State | OR
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Zip | 97301-3463
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Country | US
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Telephone | 971-208-5085
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Fax |
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Provider Business Mailing Address
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Address Line | 780 COMMERCIAL ST SE STE 201
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City | SALEM
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State | OR
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Zip | 97301-3463
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | JENNIFER STARCK
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Credential | LSCW
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Telephone | 503-689-0493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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