Individual
MR. MIKE W STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS. CADC #424
Contact information
Practice address
2200 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7135
(918) 335-1111
(918) 335-1119
Mailing address
2200 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7135
(918) 335-1111
(918) 335-1119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
424
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100732190A
—
OK
05
—
100732190C
—
OK
05
—
100732190F
—
OK
Enumeration date
02/22/2011
Last updated
03/07/2017
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