Individual
JONATHAN ROBERTS-STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
261 E 12TH AVE, EUGENE, OR 97401-3208
(541) 342-8437
Mailing address
261 E 12TH AVE, EUGENE, OR 97401-3208
(541) 342-8437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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