Organization
CENTERSTONE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA LEE STONE LICSW (SOLE PROPRIETOR/THERAPIST)
(701) 566-3922
Entity
Organization
Contact information
Practice address
417 38TH ST SW STE D, FARGO, ND 58103-6508
(701) 566-3922
(701) 551-7001
Mailing address
417 38TH ST SW STE D, FARGO, ND 58103-6508
(701) 566-3922
(701) 551-7001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3498
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770741464
MERITCARE
ND
Enumeration date
05/15/2017
Last updated
05/15/2017
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