Individual provider · Type 1 NPI
Mary Ceretta Stafford, LADC
Addiction (Substance Use Disorder) Counselor · Norman, OK
NPI number
1972837607
Active
Practice location
1429 Princeton Circle
Norman, OK 73071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 675 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972837607
Mary Ceretta Stafford, LADC's National Provider Identifier is 1972837607, issued on Sep 29, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Norman, OK. The record was last updated on Sep 29, 2009.