Individual provider · Type 1 NPI

Cortny M. Stark, MA, LPCC, LADAC, CRC

Professional Counselor · Rio Rancho, NM

NPI number 1104176148 Active

Practice location

1316 Jackie Rd SE Ste 900
Rio Rancho, NM 87124

Mailing address

2605 Inca Rd NE
Rio Rancho, NM 87144-7558

Other practice locations

  • 123 Madeira Dr SE, Albuquerque, NM 87108-2963 · (505) 262-1538

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XCAD0171001 (NM)
Rehabilitation Psychologist 103TR0400X00165351 (NM)
Professional Counselor Primary 101YP2500XCCMH0198781 (NM)

Professional Counselor: Definition to come...

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About NPI 1104176148

Cortny M. Stark, MA, LPCC, LADAC, CRC's National Provider Identifier is 1104176148, issued on Sep 18, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rio Rancho, NM. The record was last updated on Aug 30, 2018.