Healthcare Provider Details

I. General information

NPI: 1952744187
Provider Name (Legal Business Name): JESSICA STONE MA, LLPC, NCC, SCL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA CRAIGHEAD

II. Dates (important events)

Enumeration Date: 04/08/2013
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 CATALPA DR
BERKLEY MI
48072-1255
US

IV. Provider business mailing address

3205 CATALPA DR
BERKLEY MI
48072-1255
US

V. Phone/Fax

Practice location:
  • Phone: 248-837-8267
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License NumberSC0000000809771
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401013581
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: