Ms. Cortny M Stark
Professional Counselor Addiction Counselor (Substance Use Disorder) Rehabilitation Psychologist
1316 Jackie Rd Se Ste 900
Rio Rancho
, New Mexico 87124
Ms. Cortny M Stark
Professional Counselor Addiction Counselor (Substance Use Disorder) Rehabilitation Psychologist
1316 Jackie Rd Se Ste 900
Rio Rancho
, New Mexico 87124
(505) 452-7635
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Professional Counselor
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Ms. Cortny M Stark
- 2605 Inca Rd Ne
- Rio Rancho, NM
- Zip : 87144-7558
- Phone : (505) 452-7635
Second Address
- Ms. Cortny M Stark
- 1316 Jackie Rd Se Ste 900
- Rio Rancho, NM
- Zip : 87124
- Phone : (505) 289-1042
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What type of doctor is Ms. Cortny M Stark
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Is Ms. Cortny M Stark a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CAD0171001 | NM |
| Y | 101YP2500X | Professional Counselor | CCMH0198781 | NM |
| N | 103TR0400X | Rehabilitation Psychologist | 00165351 | NM |
National Provider Identifier
| NPI | 1104176148 |
|---|---|
| Provider Name | Ms. Cortny M Stark |
| First Address | Rio Rancho, NM 87144-7558 |
| Second Address | Rio Rancho, NM 87124 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2012 |
| Last Update Date | 30/08/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.