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Robert Stark
Peer Specialist in Ninilchik, Alaska
NPI 1518520188

Robert Stark is a Peer Specialist based in Ninilchik, AK. Robert Stark practices in Ninilchik, AK. The NPI Number for Robert Stark is 1518520188 and holds a License No. (Alaska).

The current practice location address for Robert Stark is 15765 Kingsley Rd., Ninilchik, AK and can be reached out via phone at 907-420-4713. You can also correspond with Robert Stark through the mailing address at PO BOX 39070, NINILCHIK, AK - 99639-0070 (mailing address contact number: ).

Location: 15765 Kingsley Rd., Ninilchik, AK, 99639-0070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518520188
Provider Name
Robert Stark
Credential
Provider Entity Type
Individual
Gender
Male
Address
15765 Kingsley Rd., Ninilchik, AK, 99639-0070
Phone Number
907-420-4713
Fax Number
Provider Enumeration Date
04/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15765 Kingsley Rd.
City
Ninilchik
State
Alaska
Zip
99639
Phone Number
907-420-4713
Fax Number
person
Provider Business Mailing Address Details
Address
15765 Kingsley Rd.
City
Ninilchik
State
Alaska
Zip
99639
Phone Number
907-420-4713
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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