Individual provider · Type 1 NPI

Tasha Andrea Stanford

Professional Counselor · Fort Pierce, FL

NPI number 1588486013 Active

Practice location

4500 W Midway Rd
Fort Pierce, FL 34981-4823

Call (772) 672-8466 Map

Mailing address

2616 SW Acacia Ave
Port St. Lucie, FL 34987-2209

Other practice locations

  • 2616 SW Acacia Ave, Port St. Lucie, FL 34987-2209 · (772) 323-7362

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1588486013

Tasha Andrea Stanford's National Provider Identifier is 1588486013, issued on Oct 28, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Pierce, FL. The record was last updated on Oct 28, 2024.