Individual
MR. JERALD HENRY STOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LMFT
Contact information
Practice address
6511 150TH PL SE, BELLEVUE, WA 98006-5027
(425) 562-8005
(425) 746-2021
Mailing address
6511 150TH PL SE, BELLEVUE, WA 98006-5027
(425) 562-8005
(425) 746-2021
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00000965
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LF00000965
STATE LICENSURE
WA
Enumeration date
12/12/2006
Last updated
07/08/2007
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