Individual provider · Type 1 NPI

Taylor Stockman, MSW, QMHP

Mental Health Counselor · Fairview Heights, IL

NPI number 1225508583 Active

Practice location

8 Executive Dr Ste 200
Fairview Heights, IL 62208-1350

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed
Social Worker 104100000XNone listed

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About NPI 1225508583

Taylor Stockman, MSW, QMHP's National Provider Identifier is 1225508583, issued on Nov 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview Heights, IL. The record was last updated on Nov 29, 2018.