Individual
JOHNNY S TOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMHC
Contact information
Practice address
2002 156TH AVE NE STE 100, BELLEVUE, WA 98007-3827
(971) 330-3949
Mailing address
905 10TH ST, MUKILTEO, WA 98275-1921
(971) 330-3949
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
60650182
WA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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