CHARLES DOUGLAS STAFFORD

COSTA MESA, CA
NPI1962016832
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  96730)
Enumeration Date2020-09-08
Last Update Date2025-03-29
Business Address
CHARLES DOUGLAS STAFFORD LCSW
3330 HARBOR BLVD
COSTA MESA, CA 92626-1502
Phone number: 714-861-9044
Mailing Address
CHARLES DOUGLAS STAFFORD LCSW
10085 CORRAL RIVER CT
FOUNTAIN VALLEY, CA 92708-6812
Phone number: 714-861-9044