Individual
PAMELA KRISTIN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6334 SAINT ANDREWS RD, SUITE 204, COLUMBIA, SC 29212-3143
(505) 235-3453
Mailing address
6334 SAINT ANDREWS RD, SUITE 204, COLUMBIA, SC 29212-3143
(505) 235-3453
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0134811
NM
101YP2500X
Professional Counselor
5564
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1305
—
SC
Enumeration date
10/18/2010
Last updated
11/18/2013
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