Individual
ANNA STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA. ED,S. LPC, NCC
Contact information
Practice address
153 CORNER OAK CT, #1098, WALESKA, GA 30183-4210
(678) 516-7921
Mailing address
153 CORNER OAK CT, #1098, WALESKA, GA 30183-4210
(678) 516-7921
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004337
GA
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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