Provider Demographics
NPI:1033596804
Name:STAFFORD, VALENE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:VALENE
Middle Name:
Last Name:STAFFORD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73204 N DEMOSS RD
Mailing Address - Street 2:
Mailing Address - City:BENTON CITY
Mailing Address - State:WA
Mailing Address - Zip Code:99320-7703
Mailing Address - Country:US
Mailing Address - Phone:509-832-4438
Mailing Address - Fax:509-735-6181
Practice Address - Street 1:401 N MORAIN ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-2639
Practice Address - Country:US
Practice Address - Phone:509-832-4438
Practice Address - Fax:509-735-6181
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-30
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60416949101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health