Individual
STEPHEN HOLMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8171
(907) 268-4686
Mailing address
18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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