MEDICARE: DR. SEAN STOKES PH.D.

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	106H00000X	Marriage & Family Therapist	4983	TX
2	101YP2500X	Professional Counselor	17396	TX

General Provider Information

NPI Number	:	1538272174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN STOKES PH.D.

Provider Business Mailing Address
First Line	:	8105 RASOR BLVD STE 293
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0120
Country	:	US
Telephone Number	:	214-620-5469
Fax Number	:

Provider Business Practice Location Address
First Line	:	8105 RASOR BLVD STE 293
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-0116
Country	:	US
Telephone Number	:	940-382-0109
Fax Number	:	940-382-0482

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

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	05/06/2019

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Directions to “ DR. SEAN STOKES PH.D.” Practice Location

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