Individual
MR. MICHAEL STONEBRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, CCS
Contact information
Practice address
5110 OLD ELLIS PT, ROSWELL, GA 30076-3863
(770) 751-8383
(770) 751-7282
Mailing address
5110 OLD ELLIS PT, ROSWELL, GA 30076-3863
(770) 751-8383
(770) 751-7282
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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