Provider Demographics
NPI:1003194887
Name:STONE, JOANNE E (CAP, ICADC)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:E
Last Name:STONE
Suffix:
Gender:F
Credentials:CAP, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 N KNOWLES AVE
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-3851
Mailing Address - Country:US
Mailing Address - Phone:407-718-8850
Mailing Address - Fax:407-831-6718
Practice Address - Street 1:135 N KNOWLES AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3851
Practice Address - Country:US
Practice Address - Phone:407-718-8850
Practice Address - Fax:407-831-6718
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4818101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)