Individual provider · Type 1 NPI

Kathleen Stockman, MSW, LCSW, CSAC

Addiction (Substance Use Disorder) Counselor · Green Bay, WI

NPI number 1003208505 Active

Practice location

2851 University Ave
Green Bay, WI 54311-5855

Mailing address

958 Coppens Rd
Green Bay, WI 54303-3865

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X129568-121 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15891-132 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003208505

Kathleen Stockman, MSW, LCSW, CSAC's National Provider Identifier is 1003208505, issued on Feb 20, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Green Bay, WI. The record was last updated on Jun 16, 2022.