MEDICARE: MRS. JAMIE L. STOCKER LPC

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
1	101YM0800X	Mental Health Counselor	4646	MT

General Provider Information

NPI Number	:	1245415298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMIE L. STOCKER LPC

Provider Business Mailing Address
First Line	:	415 N HIGGINS AVE STE 1
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-4559
Country	:	US
Telephone Number	:	406-381-1953
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 N HIGGINS AVE STE 1
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-4559
Country	:	US
Telephone Number	:	406-381-1953
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2008
Last Update Date	:	04/14/2026

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