Individual provider · Type 1 NPI

Annie Marie Stafford, LADC

Marriage & Family Therapist · Bloomington, MN

NPI number 1508180316 Active

Practice location

1101 E 78th St Ste 100
Bloomington, MN 55420-1402

Call (529) 854-5034 Map

Fax (952) 854-5363

Mailing address

1900 Silver Lk Rd.
New Brighton, MN 55112

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X158615 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1508180316

Annie Marie Stafford, LADC's National Provider Identifier is 1508180316, issued on Mar 23, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Bloomington, MN. The record was last updated on Jan 2, 2026.