STELLAR J ROURK

NOVATO, CA
NPI1285411744
Former NameJESSICA LYN RUORK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-09-11
Last Update Date2023-09-11
Business Address
STELLAR J ROURK
201 ALAMEDA DEL PRADO STE 103
NOVATO, CA 94949-6698
Phone number: 415-457-6964
Mailing Address
STELLAR J ROURK
1333 7TH ST
NOVATO, CA 94945-1801
Phone number: 707-228-3002