Individual provider · Type 1 NPI

Brooke Leigh Stafford, BS

Mental Health Counselor · St. Helens, OR

NPI number 1164958732 Active

Practice location

58646 Mcnulty Way
St. Helens, OR 97051-6210

Fax (503) 397-5373

Mailing address

PO Box 1234
St. Helens, OR 97051-8234

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1164958732

Brooke Leigh Stafford, BS's National Provider Identifier is 1164958732, issued on May 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Helens, OR. The record was last updated on Feb 8, 2018.