DOUGLAS RAY STAFFORD

SALT LAKE CITY, UT
NPI1003119918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  27743846004)
Enumeration Date2010-12-15
Last Update Date2010-12-15
Business Address
-- DOUGLAS RAY STAFFORD LPC
411 GRANT ST
SALT LAKE CITY, UT 84116-2725
Phone number: 801-359-8862
Mailing Address
-- DOUGLAS RAY STAFFORD LPC
9704 S 2760 E
SANDY, UT 84092-3411
Phone number: 801-942-4970