Individual provider · Type 1 NPI

Angela Renee Stark

Mental Health Counselor · San Diego, CA

NPI number 1346769775 Active

Practice location

3978 Sorrento Valley Blvd, Suite 100
San Diego, CA 92121

Mailing address

5005 Texas St Ste 203
San Diego, CA 92108-3723

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1346769775

Angela Renee Stark's National Provider Identifier is 1346769775, issued on Sep 18, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Dec 21, 2017.