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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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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