Individual provider · Type 1 NPI

Phillip Daniel Stockard

Mental Health Counselor · Martinez, GA

NPI number 1609014802 Active

Practice location

4145 Columbia Rd
Martinez, GA 30907-5400

Fax (706) 869-7380

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609014802

Phillip Daniel Stockard's National Provider Identifier is 1609014802, issued on Jan 26, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Martinez, GA. The record was last updated on Jan 26, 2009.