Individual
MR. EPHRAIM J STOCKWELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT, NCC
Contact information
Practice address
2111 HIGHVIEW RD, CLEARFIELD, PA 16830-1105
(801) 762-3091
Mailing address
543 MORRISON RD, CLEARFIELD, PA 16830-6229
(801) 762-3091
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001339
PA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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