MR. Stacey Glenn Stocking, CMHC, ASUDC, TRS

NPI #1225813637 in Midway, Utah

Provider Information

NPI Number: 1225813637
Entity Type: Individual
Name: MR. Stacey Glenn Stocking, CMHC, ASUDC, TRS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: CMHC, ASUDC, TRS
Enumeration Date: Aug 25, 2023
Last Updated: Aug 25, 2023

Practice Location

Address: 375 RAINBOW LN
City: Midway
State: Utah
ZIP Code: 84049-7001
Phone: (435) 654-1082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Recreation Therapist	225800000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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