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General NPI Number Information
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NPI Number | 1790999068
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Entity Type | Individual
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Provider Name | CRYSTAL D STONE LMSW, CAAC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1000 OAKLAND DR FL 3
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City | KALAMAZOO
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State | MI
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Zip | 49008-1282
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Country | US
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Telephone | 269-387-8230
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Fax |
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Provider Business Mailing Address
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Address Line | 901 W MEM DR
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City | HOUGHTON
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State | MI
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Zip | 49931-2475
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Country | US
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Telephone | 906-483-5567
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Fax | 906-483-0269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801086746
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 62348
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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