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
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 129568-121 (WI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15891-132 (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.