# JACK STONEBURNER & ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114174976
- **Authorized official:** MR. JACK LEROY STONEBURNER MSW, LISW (PRESIDENT)
- **Authorized official phone:** (614) 457-8359

## Contact information

- **Practice address:** 1910 CROWN PARK CT, COLUMBUS, OH 43235-2404
- **Practice address phone:** (614) 457-8359
- **Practice address fax:** (614) 457-6898
- **Mailing address:** 1910 CROWN PARK CT, COLUMBUS, OH 43235-2404
- **Mailing address phone:** (614) 457-8359
- **Mailing address fax:** (614) 457-6898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | I3017 | OH | Yes |

## Other

- **Enumeration date:** 08/25/2008
- **Last updated:** 11/26/2008