Individual provider · Type 1 NPI

Myrra Marie Stockman, CATCI

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1255782983 Active

Practice location

4750 Palm Ave
Riverside, CA 92501-4012

Fax (951) 686-0026

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X112518 (CA)

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

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About NPI 1255782983

Myrra Marie Stockman, CATCI's National Provider Identifier is 1255782983, issued on Jun 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Jan 19, 2023.