Individual provider · Type 1 NPI

Kathy Stafford, MS, LBP, LPC

Mental Health Counselor · Tahlequah, OK

NPI number 1629293105 Active

Practice location

1008 S Muskogee Ave
Tahlequah, OK 74464-4734

Call (580) 581-1818 Map

Fax (405) 527-1819

Mailing address

PO Box 662
Purcell, OK 73080-0662

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1748 (OK)
Mental Health Counselor 101YM0800X0018 (OK)

Mental Health Counselor: Definition to come...

5 other providers at this address

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About NPI 1629293105

Kathy Stafford, MS, LBP, LPC's National Provider Identifier is 1629293105, issued on Apr 17, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 8, 2007.