Individual
PAMELA KRISTIN STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
108 OAK PARK DR STE C, IRMO, SC 29063-6109
(803) 764-0961
Mailing address
108 OAK PARK DR STE C, IRMO, SC 29063-6109
(803) 764-0961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0134811
NM
101YP2500X
Professional Counselor
5564
SC
101YP2500X
Professional Counselor
Primary
7379
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1305
—
SC
Enumeration date
10/18/2010
Last updated
07/09/2026
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