person
Myrra Marie Stockman, CATCI
Addiction (Substance Use Disorder) Counselor in Riverside, California
NPI 1255782983

Myrra Marie Stockman is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Myrra Marie Stockman practices in Riverside, CA and has the professional credentials of CATCI. The NPI Number for Myrra Marie Stockman is 1255782983 and holds a License No. 112518 (California).

The current practice location address for Myrra Marie Stockman is 4750 Palm Ave, Riverside, CA and can be reached out via phone at 951-686-0021 and via fax at 951-686-0026.

Location: 4750 Palm Ave, Riverside, CA, 92501-4012
person
Provider Profile Details
NPI Number
1255782983
Provider Name
Myrra Marie Stockman
Credential
CATCI
Provider Entity Type
Individual
Gender
Female
Address
4750 Palm Ave, Riverside, CA, 92501-4012
Phone Number
951-686-0021
Fax Number
951-686-0026
Provider Enumeration Date
06/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4750 Palm Ave
City
State
Zip
92501-4012
Phone Number
951-686-0021
Fax Number
951-686-0026
person
Provider Business Mailing Address Details
Address
4750 Palm Ave
City
State
Zip
92501-4012
Phone Number
951-686-0021
Fax Number
951-686-0026
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
112518 (California)
Definition
Definition to come...
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