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GLEN STONE NPI 1043503444


NPI Information

NPI: 1043503444
Provider Name: GLEN STONE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3830 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 455-5304
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Glen Stone is a mental health counselor in Fairbanks, AK. Glen Stone NPI is 1043503444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3830 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701-530
Phone: (907) 455-5304
Fax: (907) 455-1460

The enumeration date for this NPI number is 5/18/2011 and was last updated on 2/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K0000WCHCPMEDICARE PINALASKA
2MH0157MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.