Individual provider · Type 1 NPI

Jonathan Roberts-Stark, QMHA

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1750253902 Active

Practice location

261 E 12th Ave
Eugene, OR 97401-3208

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 1750253902

Jonathan Roberts-Stark, QMHA's National Provider Identifier is 1750253902, issued on Sep 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Sep 18, 2025.