Individual
DIANE STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1 ECHO HILL, DOBBS FERRY, NY 10522
(914) 693-0600
(914) 674-7572
Mailing address
1 ECHO HILL, DOBBS FERRY, NY 10522
(914) 693-0600
(914) 674-7572
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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