Organization
STAFFORD COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY ELLEN STAFFORD LCSW (OWNER)
(502) 260-0474
Entity
Organization
Contact information
Practice address
2632 WENDELL AVE, LOUISVILLE, KY 40205-3138
(502) 260-0474
Mailing address
2240 TAYLORSVILLE RD # 5284, LOUISVILLE, KY 40205-2146
(502) 260-0474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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