Individual provider · Type 1 NPI

Mary Martha Stockard, BS, CDA

Mental Health Counselor · Dayton, OH

NPI number 1093507238 Active

Practice location

1415 Salem Ave
Dayton, OH 45406-4941

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093507238

Mary Martha Stockard, BS, CDA's National Provider Identifier is 1093507238, issued on May 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on May 22, 2025.