Individual
CHARLES HALLOWAY STOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2743 ORANGE ST, RIVERSIDE, CA 92501-2503
(877) 300-7326
Mailing address
2743 ORANGE ST, RIVERSIDE, CA 92501-2503
(310) 989-4179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24815
CA
Other
Enumeration date
09/27/2006
Last updated
08/29/2025
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