Individual
MR. STAFFORD MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1105 6TH ST, TRAVERSE CITY, MI 49684-2345
(231) 256-7676
Mailing address
1105 6TH STREET, TRAVERSE CITY, MI 49684
(231) 256-7676
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06302011
MI
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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