Individual
MR. STEPHEN PAUL STOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
315 N CENTER ST, BOX 270, NORTHVILLE, MI 48167-1277
(586) 420-3456
(248) 348-2333
Mailing address
876 DEVONSHIRE BLVD, BRIGHTON, MI 48116-1706
(586) 420-3456
(248) 348-2333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801001271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007019037
AETNA PROVIDER NUMBER
MI
01
—
051735
VALUE OPTIONS PROVIDER #
MI
01
—
8008900570
BLUE CROSS PROVIDER #
MI
Enumeration date
01/20/2007
Last updated
07/08/2007
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