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NPI Code Detail

MEDICARE: ROBERT MCKINLEY STAFFORD III LPC

MEDICARE: ROBERT MCKINLEY STAFFORD III LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor5352NC

General Provider Information

NPI Number : 1972526580
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MCKINLEY STAFFORD III LPC
Provider Business Mailing Address
First Line : 800 FLEMING ST
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28791-3528
Country : US
Telephone Number :
Fax Number : 828-693-9560
Provider Business Practice Location Address
First Line : 72 BLUE RIDGE LN
Second Line :
City : BURNSVILLE
State : NC
Zip : 28714-7270
Country : US
Telephone Number : 828-682-2111
Fax Number : 828-682-7630
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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