Individual provider · Type 1 NPI

Kimyunna Latrece Stafford

Counselor · Clarksville, TN

NPI number 1104763606 Active

Practice location

25 Jefferson St Ste T1
Clarksville, TN 37040-4901

Call (615) 348-5806 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104763606

Kimyunna Latrece Stafford's National Provider Identifier is 1104763606, issued on May 1, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Clarksville, TN. The record was last updated on May 1, 2026.