Individual provider · Type 1 NPI

Jack Stockwell

Student in an Organized Health Care Education/Training Program · Yuba City, CA

NPI number 1982330213 Active

Practice location

1525 Plumas Ct Ste C&d
Yuba City, CA 95991-2971

Call (530) 418-1002 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Social Worker 104100000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982330213

Jack Stockwell's National Provider Identifier is 1982330213, issued on Jul 28, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Yuba City, CA. The record was last updated on Oct 5, 2023.