Individual
MR. BRANDON STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.171375
OH
3245S0500X
Children's Substance Abuse Rehabilitation Facility
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Other
Enumeration date
09/13/2018
Last updated
03/09/2021
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