Individual
MR. CHARLIE STANFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMHCA
Contact information
Practice address
1106 COLUMBIA AVE STE 151, MARYSVILLE, WA 98270-4347
(253) 269-0224
(253) 833-8850
Mailing address
1106 COLUMBIA AVE STE 151, MARYSVILLE, WA 98270-4347
(253) 269-0224
(360) 386-9519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60699756
WA
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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