Victoria Louise Stark, R1488461122
Victoria Louise Stark, R1488461122 is an Addiction (Substance Use Disorder) Counselor in Victorville, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
16248 Victor StVictorville, CA 92395-3934
Phone: (760) 243-7151
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|
Record details
| NPI number | 1053020388 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | R1488461122 |
| Sole proprietor | No |
| NPI enumerated | November 15, 2022 |
| Last updated in NPPES | November 29, 2023 |
| Certification date | November 29, 2023 |
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