Individual
MR. RICHARD A. STANDIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1010 1ST STREET SE, SUITE 110, BANDON, OR 97411-9353
(541) 347-2529
(541) 347-9196
Mailing address
1010 1ST STREET SE, SUITE 110, BANDON, OR 97411-9353
(541) 347-2529
(541) 347-9196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L5400
OR
Other
Enumeration date
05/24/2007
Last updated
01/09/2017
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