Individual provider · Type 1 NPI

Judd Stark, CADC-I

Addiction (Substance Use Disorder) Counselor · North Hollywood, CA

NPI number 1720339831 Active

Practice location

11027 Burbank Blvd
North Hollywood, CA 91601-2431

Call (818) 985-8323 Map

Fax (818) 985-4297

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1720339831

Judd Stark, CADC-I's National Provider Identifier is 1720339831, issued on Sep 28, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Hollywood, CA. The record was last updated on Sep 28, 2012.