Mary Ceretta Stafford, LADC

NPI #1972837607 in Norman, Oklahoma

Provider Information

NPI Number: 1972837607
Entity Type: Individual
Name: Mary Ceretta Stafford, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Sep 29, 2009
Last Updated: Sep 29, 2009

Practice Location

Address: 1429 PRINCETON CIRCLE
City: Norman
State: Oklahoma
ZIP Code: 73071
Phone: (405) 329-2340

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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