Individual provider · Type 1 NPI

Patricia Stark

Mental Health Counselor · San Leandro, CA

NPI number 1386047017 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Call (510) 317-1444 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X24568 (CA)
Mental Health Counselor Primary 101YM0800X34568 (CA)
Social Worker 104100000X34568 (CA)

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About NPI 1386047017

Patricia Stark's National Provider Identifier is 1386047017, issued on Oct 8, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Leandro, CA. The record was last updated on Oct 8, 2014.