Provider Demographics
NPI:1134433162
Name:STOKKE, MEREDITH (LPC)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:STOKKE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20854
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27619-0854
Mailing Address - Country:US
Mailing Address - Phone:919-848-2001
Mailing Address - Fax:919-848-2009
Practice Address - Street 1:308A WEST MILLBROOK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-0854
Practice Address - Country:US
Practice Address - Phone:919-848-2100
Practice Address - Fax:919-848-2009
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7983101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional