Stocker, Charles Wayne

Stocker, Charles Wayne is an individual health care provider with primary practice located at 4A Country Club Executive Park , Glen Carbon IL 62034-1702. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Stocker, Charles Wayne can be contacted via phone (618) 288-0055.

Contact Information

Primary practice address
4A Country Club Executive Park Glen Carbon IL 62034-1702
Phone: (618) 288-0055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Illinois

Profile Details

NPI number 1083784953
LBN Legal business name Stocker, Charles Wayne
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers