Theresa Stock, MHP

NPI #1760073704 in Moline, Illinois

Provider Information

NPI Number: 1760073704
Entity Type: Individual
Name: Theresa Stock, MHP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MHP
Enumeration Date: Feb 2, 2021
Last Updated: Feb 3, 2021

Practice Location

Address: 4600 3RD ST
City: Moline
State: Illinois
ZIP Code: 61265-6106
Phone: (309) 779-2018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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