Individual provider · Type 1 NPI

Destry Stoner

Mental Health Counselor · Medford, OR

NPI number 1679947865 Active

Practice location

140 S. Holly St.
Medford, OR 97501-3113

Call (541) 774-8201 Map

Fax (541) 774-7979

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679947865

Destry Stoner's National Provider Identifier is 1679947865, issued on Nov 25, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Oct 11, 2016.