Individual provider · Type 1 NPI

China Stark

Peer Specialist · Ontario, CA

NPI number 1659069474 Active

Practice location

2890 Inland Empire Blvd
Ontario, CA 91764-4649

Call (909) 233-7265 Map

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1659069474

China Stark's National Provider Identifier is 1659069474, issued on Apr 28, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Ontario, CA. The record was last updated on May 19, 2023.