Individual
ZACKARY STOCKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9085 SOUTHERN ST STE 220, ORIENT, OH 43146-9360
(380) 666-5026
Mailing address
12119 STATE ROUTE 104, ASHVILLE, OH 43103-9676
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2506788
OH
Other
Enumeration date
01/17/2024
Last updated
06/11/2025
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