| Doctor Name: | MR. TERENCE JAMES STOEKL |
| NPI Number: | 1023416302 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | ASW36072 |
| Business Practice Address: | 425 E. Gobbi St. #74 Ukiah, CA - 954825525 |
| Business Phone Number: | 7074638872 |
| Business Fax Number: | |
| Mailing Address: | 270 N. Pine St., Manzanita Services, Inc. UKIAH |
| State: | CA |
| Postal Code: | 954820323 |
| Phone Number: | 7074630405 |
| Fax Number: | 7074630405 |
| NPI Enumeration Date: | 12/18/2014 |
| NPI Last Update Date: | 12/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | ASW36072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |