Healthcare Provider Details

I. General information

NPI: 1801702840
Provider Name (Legal Business Name): SIERRA DALE STONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

551 GRAND AVE STE 307
GRAND JUNCTION CO
81501-2694
US

IV. Provider business mailing address

1134 ROOD AVE
GRAND JUNCTION CO
81501-3440
US

V. Phone/Fax

Practice location:
  • Phone: 720-985-8190
  • Fax:
Mailing address:
  • Phone: 435-659-6273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPCC.0025247
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: