Provider Demographics
NPI:1558127571
Name:STOCKTON, LASHON (BACHELORS DEGREE)
Entity Type:Individual
Prefix:
First Name:LASHON
Middle Name:
Last Name:STOCKTON
Suffix:
Gender:F
Credentials:BACHELORS DEGREE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 WARREN ST APT 4L
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-2536
Mailing Address - Country:US
Mailing Address - Phone:917-435-4612
Mailing Address - Fax:
Practice Address - Street 1:220 HEBERTON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-1415
Practice Address - Country:US
Practice Address - Phone:718-448-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)