Individual
FAITH A STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
911 MICHIGAN AVE, ROCKFORD, IL 61102-3434
(815) 201-3923
Mailing address
2205 S PERRYVILLE RD. PMB 708, ROCKFORD, IL 61108
(815) 985-7381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5153-226
WI
Other
Enumeration date
11/03/2021
Last updated
04/14/2026
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