Most Relevant Information
Provider Data
| NPI Number: | 1003327735 |
| Provider Name: | ELISE MAE STARK MA, LPCC, CEDS-C |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPCC4458 |
Most Important Dates
| Enumeration Date: | 10/20/2017 |
| Last Updated: | 07/25/2024 |
Provider Practice Location
2001 S BARRINGTON AVE
LOS ANGELES
CA
900255363
Practice Location Phone/Fax
| Phone: | 3233792147 |
| Fax: |
Provider Mailing Location
2001 S BARRINGTON AVE STE 215
LOS ANGELES
CA
900255385
Provider Mailing Phone/Fax
| Phone: | 7154419655 |
| Fax: |