Individual provider · Type 1 NPI
Dena Stark
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1679963557
Active
Practice location
823 Gateway Center Way
San Diego, CA 92102-4541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | S1205271551 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1679963557
Dena Stark's National Provider Identifier is 1679963557, issued on Jan 29, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Mar 25, 2019.