Individual
CARLY STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
230 GRAND AVE STE 301B-2, OAKLAND, CA 94610-4589
(510) 473-6383
Mailing address
230 GRAND AVE STE 301B-2, OAKLAND, CA 94610-4589
(510) 473-6383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10531
CA
101YP2500X
Professional Counselor
Primary
10531
CA
101YP2500X
Professional Counselor
APCC7411
CA
Other
Enumeration date
02/06/2020
Last updated
03/19/2026
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