Individual provider · Type 1 NPI

Thomas Edward Stafford Iv, LPC

Mental Health Counselor · Keizer, OR

NPI number 1093512667 Active

Practice location

983 Plymouth Dr NE
Keizer, OR 97303-4941

Call (208) 284-6320 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR12104 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1093512667

Thomas Edward Stafford Iv, LPC's National Provider Identifier is 1093512667, issued on Feb 28, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Keizer, OR. The record was last updated on Oct 10, 2025.