Individual provider · Type 1 NPI

W Davida Stafford, AAC, MHP

Counselor · Centralia, WA

NPI number 1114580594 Active

Practice location

209 W Main St
Centralia, WA 98531-4245

Call (509) 899-5512 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG60328778 (WA)
Counselor Primary 101Y00000X101Y00000X-COUNSELOR (WA)

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 1114580594

W Davida Stafford, AAC, MHP's National Provider Identifier is 1114580594, issued on Apr 21, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Centralia, WA. The record was last updated on Apr 21, 2019.