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NPI Code Detail

MEDICARE: DWAYNE ROBERT STONE LMHC

MEDICARE:   DWAYNE ROBERT STONE  LMHC
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 CounselorLH60535754WA

General Provider Information

NPI Number : 1992195952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DWAYNE ROBERT STONE LMHC
Provider Business Mailing Address
First Line : 5731 NE 62ND ST
Second Line :
City : SEATTLE
State : WA
Zip : 98115-7908
Country : US
Telephone Number : 206-915-6982
Fax Number :
Provider Business Practice Location Address
First Line : 2319 N 45TH ST
Second Line : SUITE 109
City : SEATTLE
State : WA
Zip : 98103-6982
Country : US
Telephone Number : 206-915-6982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2015
Last Update Date : 04/23/2015

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Directions to “ DWAYNE ROBERT STONE LMHC” Practice Location

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