MR. Thomas Edward Stafford IV, LPC

NPI #1093512667 in Keizer, Oregon

Provider Information

NPI Number
1093512667
Entity Type
Individual
Name
MR. Thomas Edward Stafford IV, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC
Enumeration Date
Feb 28, 2025
Last Updated
Oct 10, 2025

Practice Location

Address
983 PLYMOUTH DR NE
City
Keizer
State
Oregon
ZIP Code
97303-4941
Phone
(208) 284-6320

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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