W DAVIDA STAFFORD AAC MHP NPI 1114580594

NPI Information

NPI: 1114580594
Provider Name: W DAVIDA STAFFORD, AAC, MHP
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
209 W MAIN ST
CENTRALIA, WA
ZIP 98531
Phone: (509) 899-5512
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W Davida Stafford, AAC, MHP is a counselor in Centralia, WA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. W Davida Stafford, AAC, MHP NPI is 1114580594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

209 W MAIN ST
CENTRALIA, WA
ZIP 98531-245
Phone: (509) 899-5512

The enumeration date for this NPI number is 4/21/2019 and was last updated on 4/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		CG60328778	WASHINGTON	No
2	101Y00000X	Counselor		101Y00000X-COUNSELOR	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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