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Provider Information for 1811067713


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LANI BAIN STONER LMFT


Sex: Female

NPI: 1811067713
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1811067713
Enumeration Date2006-11-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 4555 N PERSHING AVE
#33-193
STOCKTON, CA 95207-6740
United States

Phone: 209-477-9009 | Fax:209-957-2587
 
Primary Practice Address 2431 W MARCH LN
#210
STOCKTON, CA 95207-8211
United States

Phone: 209-477-9009 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 174400000X - Specialist CAMFT 30965