Most Relevant Information
Provider Data
| NPI Number: | 1003561937 |
| Provider Name: | MICHELLE JAMIA STONE SUDCC IV CS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 7866 |
Most Important Dates
| Enumeration Date: | 02/18/2022 |
| Last Updated: | 02/18/2022 |
Provider Practice Location
611 E BELMONT AVE
FRESNO
CA
937011502
Practice Location Phone/Fax
| Phone: | 5592373420 |
| Fax: |
Provider Mailing Location
611 E BELMONT AVE
FRESNO
CA
937011502
Provider Mailing Phone/Fax
| Phone: | 5592373420 |
| Fax: |