TRACI STOCKHAM

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1093247215

Practice Address

1925 W COLLEGE AVE
APT 185
San Bernardino, CA 92407

Phone: (909) 648-4186

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1093247215 is the National Provider Identifier for TRACI STOCKHAM, a Counselor - Addiction (Substance Use Disorder) provider located in San Bernardino, CA. This NPI was enumerated on March 28, 2017.
TRACI STOCKHAM practices at 1925 W COLLEGE AVE, APT 185, San Bernardino, CA 92407.

Quick Facts

NPI
1093247215
Type
Individual
Enumerated
Mar 28, 2017
Last Updated
Mar 28, 2017

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