Individual
MR. MICHAEL STONEBRAKER
Active
Individual
MR. MICHAEL STONEBRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
028-556-D
GA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
MHL-041-742
NC
Other
Enumeration date
11/23/2009
Last updated
01/19/2026
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