Individual
CHRISTI BAGGETT STANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
777 29TH ST, BOULDER, CO 80303-2358
(910) 505-0903
Mailing address
629 WALDEN CIR APT 201, BOULDER, CO 80305-7613
(919) 272-8634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0018569
CO
Other
Enumeration date
08/17/2021
Last updated
08/25/2022
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