JACLYN B STOCKHAM SUDCC
NPI 1700248655
Counselor - Addiction (Substance Use Disorder) in Redlands, CA

Active since March 21, 2016
1971 ESSEX CT, REDLANDS, CA 92373(800) 474-4848 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2021, Mar 21, 2016 (2 updates tracked since 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
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
Counselor (Addiction (Substance Use Disorder))
1971 ESSEX CT
REDLANDS, CA 92373
Clinical Medical Laboratory
1971 ESSEX CT
REDLANDS, CA 92373
Marriage & Family Therapist
1971 ESSEX CT
REDLANDS, CA 92373
Marriage & Family Therapist
1971 ESSEX CT
REDLANDS, CA 92373
Marriage & Family Therapist
1971 ESSEX CT
REDLANDS, CA 92373
Counselor
1971 ESSEX CT
REDLANDS, CA 92373
Counselor (Addiction (Substance Use Disorder))
1971 ESSEX CT
REDLANDS, CA 92373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Stockham's NPI number?

The NPI number for Jaclyn Stockham is 1700248655. It was assigned to this individual provider in the NPPES registry on March 21, 2016.

Where is Jaclyn Stockham located?

Jaclyn Stockham practices at 1971 Essex Ct, Redlands, CA 92373. The listed phone number is (800) 474-4848.

What is Jaclyn Stockham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jaclyn Stockham was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.