JACLYN B STOCKHAM SUDCC
NPI 1700248655
Counselor - Addiction (Substance Use Disorder) in Redlands, CA
Active since March 21, 2016
About Jaclyn B Stockham Sudcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN B STOCKHAM SUDCC (NPI 1700248655) is an individual addiction (substance use disorder) provider in Redlands, California and active in the NPI registry since March 2016.
NPPES Registry Identity
NPI1700248655
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACLYN B STOCKHAMCredential: SUDCC
Location Address1971 ESSEX CTRedlands, CA 92373-8057
Mailing Address25612 Barton Rd # 286Loma Linda, CA 92354-3110 · (800) 474-4848
Phone(800) 474-4848
Sole ProprietorYes
Enumeration DateMarch 21, 2016
Last NPPES UpdateApril 26, 20212 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1700248655 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
1971 ESSEX CT, Redlands, CA 92373
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
1971 ESSEX CT
REDLANDS, CA 92373
REDLANDS, CA 92373
Counselor (Addiction (Substance Use Disorder))
1971 ESSEX CT
REDLANDS, CA 92373
REDLANDS, CA 92373
Counselor (Addiction (Substance Use Disorder))
1971 ESSEX CT
REDLANDS, CA 92373
REDLANDS, CA 92373
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700248655, enumerated as an "individual" on March 21, 2016.
The provider is located at 1971 ESSEX CT REDLANDS, CA 92373 and the phone number is (800) 474-4848.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
