Provider Demographics
NPI:1649956954
Name:STOKES, DANIEL JEREMIAH
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:JEREMIAH
Last Name:STOKES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1637 SW 310TH PL
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-4353
Mailing Address - Country:US
Mailing Address - Phone:360-860-2198
Mailing Address - Fax:
Practice Address - Street 1:1637 SW 310TH PL
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-4353
Practice Address - Country:US
Practice Address - Phone:360-860-2198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician