IndividualActive
Adam Stark, MA LCMHC LADC
NPI 1679503148 · Mental Health Counselor · Brattleboro, VT
Provider details
- NPI number
- 1679503148
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MA LCMHC LADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 068-0000681 (VT)
Practice location
122 Birge St 2nd Fl.
Brattleboro, VT 05301
Phone: (802) 254-9719
Fax: (802) 254-9719
Mailing address
39-8 Brookside Dr
Brattleboro, VT 05301
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2010-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.