Individual
ERNEST STOCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
Mailing address
4730 ERICSON AVE, DAYTON, OH 45417-5910
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
120742
OH
Other
Enumeration date
08/31/2018
Last updated
10/04/2018
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