Individual provider · Type 1 NPI

Kathleen Stark, CADC II

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1063870848 Active

Practice location

149 W 12th Ave
Eugene, OR 97401-3408

Call (541) 762-4314 Map

Fax (541) 684-4156

Mailing address

687 Cheshire Ave
Eugene, OR 97402-5060

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 1063870848

Kathleen Stark, CADC II's National Provider Identifier is 1063870848, issued on Feb 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Apr 9, 2019.