MR. Patrick Harry Stafford, LPCC

NPI #1104159466 in Vado, New Mexico

Provider Information

NPI Number: 1104159466
Entity Type: Individual
Name: MR. Patrick Harry Stafford, LPCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LPCC
Enumeration Date: Sep 17, 2009
Last Updated: Sep 17, 2009

Practice Location

Address: 220 VISTA DEL REY DR
City: Vado
State: New Mexico
ZIP Code: 88072-7236
Phone: (575) 233-3240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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