NICOLE STOCKLE
NPI 1134675663
Counselor - Addiction (Substance Use Disorder) in Fresno, CA
Active since August 25, 2016
About Nicole Stockle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE STOCKLE (NPI 1134675663) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since August 2016.
NPPES Registry Identity
NPI1134675663
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE STOCKLE
Location Address589 E AHWAHNEE AVEFresno, CA 93720-2165
Mailing Address589 E Ahwahnee AveFresno, CA 93720-2165
Phone(559) 681-2732
Sole ProprietorYes
Enumeration DateAugust 25, 2016
✔ NPI 1134675663 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
589 E AHWAHNEE AVE, Fresno, CA 93720
Other Identifiers 1
Medicaid005728CA
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134675663, enumerated as an "individual" on August 25, 2016.
The provider is located at 589 E AHWAHNEE AVE FRESNO, CA 93720 and the phone number is (559) 681-2732.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
