Individual
AMY STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
406 STRAWS MILL RD, GATESVILLE, TX 76528-2832
(254) 206-0292
Mailing address
406 STRAWS MILL RD, GATESVILLE, TX 76528-2832
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
76835
TX
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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