Individual provider · Type 1 NPI

Carl Bruce Stater

Counselor · Escondido, CA

NPI number 1013085000 Active

Practice location

474 W Vermont Ave Ste 104
Escondido, CA 92025-6584

Call (176) 043-2988 Map

Fax (176) 043-2995

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1013085000

Carl Bruce Stater's National Provider Identifier is 1013085000, issued on Nov 30, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Escondido, CA. The record was last updated on Jul 8, 2007.