Individual
LEANN NICHOLE STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7400
(918) 302-0909
Mailing address
512 E 24TH ST, TISHOMINGO, OK 73460-3214
(580) 371-3672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746580A
—
OK
Enumeration date
10/10/2011
Last updated
08/27/2024
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