Individual
SEAN STANFORD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 81, PRAIRIEVILLE, LA 70769-0081
(225) 777-8121
Mailing address
38050 FALLEN OAKS DR, PRAIRIEVILLE, LA 70769-4160
(225) 777-8121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8543
LA
Other
Enumeration date
10/16/2017
Last updated
10/01/2025
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