Individual provider · Type 1 NPI

Charles Jacob Stockwell

Professional Counselor · Henderson, NV

NPI number 1750914792 Active

Practice location

2473 Bench Reef Pl
Henderson, NV 89052-5202

Call (702) 672-8434 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X10050-M (NV)
Mental Health Counselor 101YM0800XNone listed

Professional Counselor: Definition to come...

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About NPI 1750914792

Charles Jacob Stockwell's National Provider Identifier is 1750914792, issued on Feb 18, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Henderson, NV. The record was last updated on Jun 7, 2022.