Individual provider · Type 1 NPI

Victoria Louise Stark, R1488461122

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1053020388 Active

Practice location

16248 Victor St
Victorville, CA 92395-3934

Call (760) 243-7151 Map

Mailing address

18142 Casaba Rd
Adelanto, CA 92301-2061

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053020388

Victoria Louise Stark, R1488461122's National Provider Identifier is 1053020388, issued on Nov 15, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Nov 29, 2023.