Individual provider · Type 1 NPI

Diane Stafford

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1316076110 Active

Practice location

18609 W 7 Mile Rd
Detroit, MI 48219-2702

Call (313) 532-8015 Map

Fax (313) 532-2773

Mailing address

12367 Northlawn St
Detroit, MI 48204-1019

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1316076110

Diane Stafford's National Provider Identifier is 1316076110, issued on Mar 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.