DIANA STAFFORD

COSTA MESA, CA
NPI1659638039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C3791214)
Enumeration Date2012-04-23
Last Update Date2020-05-08
Business Address
DIANA STAFFORD Counselor
2212 PLACENTIA AVE
COSTA MESA, CA 92627-7500
Phone number: 949-646-2271
Mailing Address
DIANA STAFFORD Counselor
2212 PLACENTIA AVE
COSTA MESA, CA 92627-7500
Phone number: 949-646-2271