Individual
TYLER WILLIAM STOCKTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
900 FIR ST, LONGVIEW, WA 98632-2544
(360) 575-3316
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 947-2247
(360) 423-7813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60795539
WA
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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