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NPI Code Detail

MEDICARE: ABIGAIL STOCKSDALE CT

MEDICARE: ABIGAIL STOCKSDALE CT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.2506900-TRNEOH

General Provider Information

NPI Number : 1194619577
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL STOCKSDALE CT
Provider Business Mailing Address
First Line : 5155 COBB DR
Second Line :
City : DAYTON
State : OH
Zip : 45431-1412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10861 YANKEE ST
Second Line :
City : CENTERVILLE
State : OH
Zip : 45458-3574
Country : US
Telephone Number : 937-619-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2025
Last Update Date : 01/06/2026

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Directions to “ ABIGAIL STOCKSDALE CT” Practice Location

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