Individual
MICHAEL STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
6020 GROVEPORT RD, GROVEPORT, OH 43125-1005
(614) 567-6274
(855) 604-0927
Mailing address
211 S 5TH ST, COLUMBUS, OH 43215-5203
(614) 567-6274
(855) 604-0927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
APS.004714
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/12/2026
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