Provider Demographics
NPI:1538662952
Name:STOGSDILL, JOSIAH (LPC CANDIDATE)
Entity Type:Individual
Prefix:
First Name:JOSIAH
Middle Name:
Last Name:STOGSDILL
Suffix:
Gender:M
Credentials:LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 E DANFORTH RD STE 124
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4484
Mailing Address - Country:US
Mailing Address - Phone:405-726-8966
Mailing Address - Fax:
Practice Address - Street 1:307 E DANFORTH RD STE 124
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-4484
Practice Address - Country:US
Practice Address - Phone:405-726-8966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health