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Carl Bruce Stater
Counselor in Escondido, California
NPI 1013085000

Carl Bruce Stater is a Counselor based in Escondido, CA. Carl Bruce Stater practices in Escondido, CA. The NPI Number for Carl Bruce Stater is 1013085000 and holds a License No. (California).

The current practice location address for Carl Bruce Stater is 474 W Vermont Ave Ste 104, Escondido, CA and can be reached out via phone at 176-043-2988 and via fax at 176-043-2995.

Location: 474 W Vermont Ave Ste 104, Escondido, CA, 92025-6584
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013085000
Provider Name
Carl Bruce Stater
Credential
Provider Entity Type
Individual
Gender
Male
Address
474 W Vermont Ave Ste 104, Escondido, CA, 92025-6584
Phone Number
176-043-2988
Fax Number
176-043-2995
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
474 W Vermont Ave Ste 104
City
Escondido
State
California
Zip
92025-6584
Phone Number
176-043-2988
Fax Number
176-043-2995
person
Provider Business Mailing Address Details
Address
474 W Vermont Ave Ste 104
City
Escondido
State
California
Zip
92025-6584
Phone Number
176-043-2988
Fax Number
176-043-2995
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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