Individual
STEVEN R STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
357 TOWNE CENTER BLVD, SUITE 403, RIDGELAND, MS 39157
(601) 594-0011
Mailing address
PO BOX 2582, MADISON, MS 39130-2582
(601) 594-0011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
959
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08600503
—
MS
Enumeration date
04/08/2008
Last updated
01/18/2019
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