Doctor Name: | MALCOLM A STOKES |
NPI Number: | 1174547962 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD, ACSW |
License Number: | |
Business Practice Address: | 1020 S Main St Bellefontaine, OH - 433111617 |
Business Phone Number: | 9375929545 |
Business Fax Number: | 9375929790 |
Mailing Address: | Po Box 341, BELLEFONTAINE |
State: | OH |
Postal Code: | 433110341 |
Phone Number: | 9375929545 |
Fax Number: | 9375929790 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |