Michael Stafford, PRS

NPI #1417769795 in Groveport, Ohio

Provider Information

NPI Number: 1417769795
Entity Type: Individual
Name: Michael Stafford, PRS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: PRS
Enumeration Date: Jan 23, 2025
Last Updated: Jan 12, 2026

Practice Location

Address: 6020 GROVEPORT RD
City: Groveport
State: Ohio
ZIP Code: 43125-1005
Phone: (614) 567-6274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X

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