Individual
JARED STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1417 N 4TH ST, COEUR D ALENE, ID 83814-3310
(208) 292-2188
Mailing address
1417 N 4TH ST, COEUR D ALENE, ID 83814-3310
(208) 292-2188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35169
ID
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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