Provider Demographics
NPI:1053853218
Name:STONE, SOREN (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:SOREN
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 2ND ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-2997
Mailing Address - Country:US
Mailing Address - Phone:360-800-9300
Mailing Address - Fax:360-800-9304
Practice Address - Street 1:605 2ND ST STE 101
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-2997
Practice Address - Country:US
Practice Address - Phone:360-800-9300
Practice Address - Fax:360-800-9304
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61243470101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health