NPI 1003119918

Douglas Ray Stafford, LPC

Practitioner Mental Health Counselor Salt Lake City, UT

Practice location

Address: 411 Grant St, Salt Lake City, UT 84116-2725
Phone: (801) 359-8862
Mailing address: 9704 S 2760 E, Sandy, UT 84092-3411

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 27743846004 (UT)

Other Counselor providers in Utah →

Registry record

NPI: 1003119918
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2010
Record last updated: 15 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.