Patrick Harry Stafford, LPCC

Clinical Social Worker · Vado, NM

Individual Active NPI

NPI number 1104159466

Practice location

220 Vista Del Rey Dr
Vado, NM 88072-7236
Phone
(575) 233-3240

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NPI record

NPI
1104159466
Entity type
Individual (Type 1)
Enumeration date
September 17, 2009
Last updated
September 17, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 13450 TX
Mental Health Counselor 101YM0800X 0096381 NM

About Patrick Stafford

Patrick Harry Stafford, LPCC is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 220 Vista Del Rey Dr, Vado, NM 88072-7236. The NPI number 1104159466 was assigned on September 17, 2009 and the record was last updated on September 17, 2009.

Patrick Stafford lists 2 licenses in the registry: #13450 (TX) for Clinical Social Worker; #0096381 (NM) for Mental Health Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Patrick Harry Stafford, LPCC?

The NPI number is 1104159466.

What is the phone number of Patrick Stafford?

The phone number listed for the practice location is (575) 233-3240.

Where is Patrick Stafford located?

220 Vista Del Rey Dr, Vado, NM 88072-7236.

What is the taxonomy code for Patrick Stafford?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.