Individual
JANET STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
701 GLENLAKE DR, EDMOND, OK 73013-1832
(405) 837-0143
Mailing address
701 GLENLAKE DR, EDMOND, OK 73013-1832
(405) 837-0143
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5278
OK
Other
Enumeration date
10/17/2011
Last updated
11/28/2021
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