Provider Demographics
NPI:1811067713
Name:STONER, LANI BAIN (LMFT)
Entity type:Individual
Prefix:
First Name:LANI
Middle Name:BAIN
Last Name:STONER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 N PERSHING AVE
Mailing Address - Street 2:#33-193
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6740
Mailing Address - Country:US
Mailing Address - Phone:209-477-9009
Mailing Address - Fax:209-957-2587
Practice Address - Street 1:2431 W MARCH LN
Practice Address - Street 2:#210
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-8211
Practice Address - Country:US
Practice Address - Phone:209-477-9009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 30965174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist