| Doctor Name: | MR. MATTHEW DANA STOCKSTILL |
| NPI Number: | 1316277015 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, LPC NCC |
| License Number: | 8491 |
| Business Practice Address: | 502 Mcknight Dr Suite 200 Knightdale, NC - 275457050 |
| Business Phone Number: | 9198447755 |
| Business Fax Number: | |
| Mailing Address: | 886 Creek Crossing Trl, WHITSETT |
| State: | NC |
| Postal Code: | 273779258 |
| Phone Number: | 9198257523 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2010 |
| NPI Last Update Date: | 02/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 8491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |