NPI 1003208505

Kathleen Stockman, MSWLCSWCSAC

Practitioner Addiction (Substance Use Disorder) Counselor Green Bay, WI

Practice location

Address: 2851 University Ave, Green Bay, WI 54311-5855
Phone: (920) 431-2500
Mailing address: 958 Coppens Rd, Green Bay, WI 54303-3865

Registered specialties (2)

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 15891-132 (WI)

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 129568-121 (WI)

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Registry record

NPI: 1003208505
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2015
Record last updated: 16 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.