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ELIAS STONE
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1548470099
Individual Registrant: ELIAS STONE
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
OLD LIBRARY BUILDING CLINIC HOOPER BAY, AK 99604 US
Tel: 907-758-4626 Fax: 907-758-4065
Tel: 907-758-4626 Fax: 907-758-4065
Contact information for business:
PO BOX 528 BETHEL, AK 99559-0528 US
Tel: 907-543-6100 Fax: 907-543-6008
Tel: 907-543-6100 Fax: 907-543-6008
Registration Information:
NPI: 1548470099
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| DA4442 | AK | 05 |
