Provider Demographics
NPI:1750696167
Name:STOKES, QWONSWANETTE DION (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:QWONSWANETTE
Middle Name:DION
Last Name:STOKES
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 CHAMPIONS DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-6452
Mailing Address - Country:US
Mailing Address - Phone:404-931-2911
Mailing Address - Fax:
Practice Address - Street 1:100 GLENDALOUGH CT
Practice Address - Street 2:SUITE E
Practice Address - City:TYRONE
Practice Address - State:GA
Practice Address - Zip Code:30290-2942
Practice Address - Country:US
Practice Address - Phone:770-683-9375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006008101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional