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Individual

MS. JESSICA KRISTEN STARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1130 12TH ST STE B, MODESTO, CA 95354-0834
(209) 485-6034
Mailing address
1130 12TH ST STE B, MODESTO, CA 95354-0834
(209) 485-6034

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CA
372600000X
Adult Companion
Primary
CA

Other

Enumeration date
01/06/2026
Last updated
05/12/2026
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