Individual provider · Type 1 NPI
Michael Stankovich
Mental Health Counselor · San Diego, CA
NPI number
1447631775
Active
Practice location
4616 Campus Ave Unit 3
San Diego, CA 92116-1159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW66117 (CA) |
| Mental Health Counselor Primary | 101YM0800X | ASW6617 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1447631775
Michael Stankovich's National Provider Identifier is 1447631775, issued on Jun 11, 2015. 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 Jul 7, 2015.