Individual
DESTRY STONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 S. HOLLY ST., MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Mailing address
140 S. HOLLY ST., MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
10/11/2016
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