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.
Location: 15765 Kingsley Rd., Ninilchik, AK, 99639-0070
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
Provider Business Practice Location Address Details
Address
15765 Kingsley Rd.
City
State
Zip
99639
Phone Number
907-420-4713
Fax Number
Provider Business Mailing Address Details
Address
15765 Kingsley Rd.
City
State
Zip
99639
Phone Number
907-420-4713
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
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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