Individual
NAYSHA LAVONNE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, ATR, LADC
Contact information
Practice address
6363 FRANCE AVE S, EDINA, MN 55435-2129
(507) 269-2737
Mailing address
6363 FRANCE AVE S, EDINA, MN 55435-2129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304844
MN
101YP2500X
Professional Counselor
Primary
CC01902
MN
221700000X
Art Therapist
16-379
MN
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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