Stockwell, Jack

Stockwell, Jack is an individual health care provider with primary practice located at 1525 Plumas Ct Ste C&D , Yuba City CA 95991-2971. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Stockwell, Jack can be contacted via phone (530) 418-1002.

Contact Information

Primary practice address
1525 Plumas Ct Ste C&D Yuba City CA 95991-2971
Phone: (530) 418-1002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1982330213
LBN Legal business name Stockwell, Jack
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2022
Last updated Oct 5th, 2023 - about last year

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.

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