Individual
MRS. JENELLE M'LOU BRAUN STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MS, MS, PH.D. -
Contact information
Practice address
132 E BROADWAY, STE 332, EUGENE, OR 97401-3154
(541) 915-1600
(541) 359-4433
Mailing address
88701 FISHER RD., EUGENE, OR 97402-9392
(541) 915-1600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C4926
OR
101Y00000X
Counselor
Primary
C6324
OR
103TC1900X
Counseling Psychologist
C4926
OR
103TS0200X
School Psychologist
TSPC10501134
OR
Other
Enumeration date
08/03/2018
Last updated
03/15/2022
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