MICHAEL STAFFORD

MERCED, CA
NPI1992243661
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-02-02
Last Update Date2017-02-02
Business Address
-- MICHAEL STAFFORD
1301 YOSEMITE PKWY
MERCED, CA 95340-5203
Phone number: 209-722-6335
Mailing Address
-- MICHAEL STAFFORD
927 W 20TH ST
MERCED, CA 95340-3502
Phone number: