Provider Demographics
NPI:1740754266
Name:STONE, JOHN EVERETT III (LPC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:EVERETT
Last Name:STONE
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1290 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-8624
Mailing Address - Country:US
Mailing Address - Phone:251-625-0118
Mailing Address - Fax:
Practice Address - Street 1:3811 OLD SHELL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-1317
Practice Address - Country:US
Practice Address - Phone:251-625-0118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4004101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
1104073592OtherNEW DIRECTIONS