Traci Stockham
Traci Stockham is an Addiction (Substance Use Disorder) Counselor in San Bernardino, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1925 W College Ave Apt 185San Bernardino, CA 92407-3371
Phone: (909) 648-4186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1093247215 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 28, 2017 |
| Last updated in NPPES | March 28, 2017 |
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