Provider Demographics
NPI:1376100354
Name:STONE, DEVONNE DONTAH (LPC, LCADC, ACS, CCS)
Entity Type:Individual
Prefix:
First Name:DEVONNE
Middle Name:DONTAH
Last Name:STONE
Suffix:
Gender:M
Credentials:LPC, LCADC, ACS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 2ND ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-3340
Mailing Address - Country:US
Mailing Address - Phone:201-522-4387
Mailing Address - Fax:
Practice Address - Street 1:45 2ND ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-3340
Practice Address - Country:US
Practice Address - Phone:201-522-4387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-24
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00894300101YP2500X
NJ37LC00266600101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty