Individual
MS. EMILY J. STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC, LADAC
Contact information
Practice address
01 SAGEBRUSH STREET, ISLETA, NM 87022
(505) 869-5479
(505) 869-5484
Mailing address
PO BOX 580, ISLETA, NM 87022-0580
(505) 869-5479
(505) 869-4584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0375
NM
Other
Enumeration date
12/27/2006
Last updated
03/04/2011
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