Individual
MISTY LYNN STOCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LSW
Contact information
Practice address
901 28TH ST. SOUTH, SUITE B, FARGO, ND 58103
(701) 404-1100
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1837
ND
104100000X
Social Worker
5039
ND
Other
Enumeration date
02/23/2018
Last updated
05/07/2026
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