Individual provider · Type 1 NPI

Douglas Ray Stafford, LPC

Mental Health Counselor · Salt Lake City, UT

NPI number 1003119918 Active

Practice location

411 Grant St
Salt Lake City, UT 84116-2725

Call (801) 359-8862 Map

Mailing address

9704 S 2760 E
Sandy, UT 84092-3411

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X27743846004 (UT)

Mental Health Counselor: Definition to come...

22 other providers at this address

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About NPI 1003119918

Douglas Ray Stafford, LPC's National Provider Identifier is 1003119918, issued on Dec 15, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 15, 2010.