| Doctor Name: | JANIS K STONE |
| NPI Number: | 1538514559 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 3622 |
| Business Practice Address: | 110 N Tennessee Ave La Follette, TN - 377662488 |
| Business Phone Number: | 4235627426 |
| Business Fax Number: | 4235624403 |
| Mailing Address: | 240 W Tyrone Rd, OAK RIDGE |
| State: | TN |
| Postal Code: | 378306517 |
| Phone Number: | 8654821076 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2016 |
| NPI Last Update Date: | 04/27/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3622 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |