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Mr. Stacey Glenn Stocking, CMHC,ASUDC,TRS
Mental Health Counselor in Midway, Utah
NPI 1225813637

Stacey Glenn Stocking is a Mental Health Counselor based in Bountiful, UT and is specialized in Mental Health. Stacey Glenn Stocking practices in Midway, UT and has the professional credentials of CMHC,ASUDC,TRS. The NPI Number for Stacey Glenn Stocking is 1225813637 and holds a License No. 108034-6008 (Utah).

The current practice location address for Stacey Glenn Stocking is 375 Rainbow Ln, Midway, UT and can be reached out via phone at 435-654-1082 and via fax at 435-654-1482.

Location: 375 Rainbow Ln, Midway, UT, 84010-2016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225813637
Provider Name
Stacey Glenn Stocking
Credential
CMHC,ASUDC,TRS
Provider Entity Type
Individual
Gender
Male
Address
375 Rainbow Ln, Midway, UT, 84010-2016
Phone Number
435-654-1082
Fax Number
435-654-1482
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
375 Rainbow Ln
City
Midway
State
Utah
Zip
84049-7001
Phone Number
435-654-1082
Fax Number
435-654-1482
person
Provider Business Mailing Address Details
Address
375 Rainbow Ln
City
Midway
State
Utah
Zip
84049-7001
Phone Number
435-654-1082
Fax Number
435-654-1482
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
108034-6004 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
108034-4002 (Utah)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Recreation Therapist
Speciality
-
Taxonomy
225800000X
License No.
108034-6008 (Utah)
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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