Provider Demographics
NPI:1578930160
Name:STONE, LINDA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:MCGOVERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:170 E MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-3530
Mailing Address - Country:US
Mailing Address - Phone:973-723-7602
Mailing Address - Fax:
Practice Address - Street 1:170 E MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-3530
Practice Address - Country:US
Practice Address - Phone:973-723-7602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00503600101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor