Stark, Cortny M
Stark, Cortny M is an individual health care provider with primary practice located at 1316 Jackie Rd Se Ste 900 , Rio Rancho NM 87124. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Stark, Cortny M can be contacted via phone (505) 289-1042.Contact Information
Primary practice address
1316 Jackie Rd Se Ste 900
Rio Rancho NM 87124
Phone: (505) 289-1042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CAD0171001 | New Mexico |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 00165351 | New Mexico |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CCMH0198781 | New Mexico |
Profile Details
| NPI number | 1104176148 |
|---|---|
| LBN Legal business name | Stark, Cortny M |
| Credentials | MA, LPCC, LADAC, CRC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2012 |
| Last updated | Aug 30th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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