Healthcare Provider Details

I. General information

NPI: 1285670976
Provider Name (Legal Business Name): GENE F. STONE M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 E MAIN ST
WILKESBORO NC
28697-2505
US

IV. Provider business mailing address

PO BOX 1022
MILLERS CREEK NC
28651-1022
US

V. Phone/Fax

Practice location:
  • Phone: 336-984-1697
  • Fax: 336-984-1697
Mailing address:
  • Phone: 336-973-7998
  • Fax: 336-973-7998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2442
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: