CHARLES JACOB STOCKWELL

HENDERSON, NV
NPI1750914792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: NV  10050-M)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-02-18
Last Update Date2022-06-07
Business Address
CHARLES JACOB STOCKWELL
2473 BENCH REEF PL
HENDERSON, NV 89052-5202
Phone number: 702-672-8434
Mailing Address
CHARLES JACOB STOCKWELL
2473 BENCH REEF PL
HENDERSON, NV 89052-5202
Phone number: 702-672-8434