Carl Bruce Stater
NPI #1013085000 in Escondido, California
Provider Information
- NPI Number
- 1013085000
- Entity Type
- Individual
- Name
- Carl Bruce Stater
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 474 W VERMONT AVE STE 104
- City
- Escondido
- State
- California
- ZIP Code
- 92025-6584
- Phone
- (176) 043-2988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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