Lookup NPI Numbers from the NPI Registry
NPI Profile for CORTNY M STARK in RIO RANCHO, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI # | 1104176148 |
|
| Status | Active | |
| Credentials | MA, LPCC, LADAC, CRC | |
| Entity | Individual | |
| Enumeration date | 09/18/2012 | |
| Last updated | 08/30/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CORTNY M STARK
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CORTNY M STARK, MA, LPCC, LADAC, CRC