Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 4818 | FL |
NPI | 1003194887 |
---|---|
Provider Name | Ms. Joanne E Stone |
First Address | Winter Park, FL 32789-3851 |
Second Address | Winter Park, FL 32789-3851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2011 |
Last Update Date | 28/07/2011 |