Individual
KENNETH STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
704 HISTORIC 66 W STE 101, WAYNESVILLE, MO 65583-8322
(480) 747-4138
Mailing address
704 HISTORIC 66 W STE 101, WAYNESVILLE, MO 65583-8322
(480) 747-4138
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2025035616
MO
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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