MICHAEL J STARK

SAN DIEGO, CA
NPI1245493113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-07-09
Last Update Date2008-07-09
Business Address
Mr. MICHAEL J STARK
3340 KEMPER ST SUITE 105
SAN DIEGO, CA 92110-4906
Phone number: 619-523-8121
Mailing Address
Mr. MICHAEL J STARK
3340 KEMPER ST SUITE 105
SAN DIEGO, CA 92110-4906
Phone number: 619-523-8121
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