Individual provider · Type 1 NPI
Kevin Stafford
Professional Counselor · Dearborn Heights, MI
NPI number
1275990046
Active
Practice location
8449 Colonial St
Dearborn Heights, MI 48127-1304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | L738911 (MI) |
Professional Counselor: Definition to come...
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About NPI 1275990046
Kevin Stafford's National Provider Identifier is 1275990046, issued on Jan 25, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dearborn Heights, MI. The record was last updated on Jan 25, 2016.