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NPI Code Detail

MEDICARE: MRS. SAMANTHA KELLY STONE LMHCA

MEDICARE: MRS. SAMANTHA KELLY STONE LMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588210165
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAMANTHA KELLY STONE LMHCA
Provider Business Mailing Address
First Line : 108 S JACKSON ST STE 301
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2872
Country : US
Telephone Number : 805-423-5255
Fax Number :
Provider Business Practice Location Address
First Line : 108 S JACKSON ST STE 301
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2872
Country : US
Telephone Number : 805-423-5255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2019
Last Update Date : 04/06/2023

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