Provider Demographics
NPI:1942534409
Name:STAFFORD, JAMES A (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:STAFFORD
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:102 OLD SOLOMONS ISLAND RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3816
Mailing Address - Country:US
Mailing Address - Phone:410-266-3058
Mailing Address - Fax:410-266-3257
Practice Address - Street 1:102 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:SUITE 202
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3816
Practice Address - Country:US
Practice Address - Phone:410-266-3058
Practice Address - Fax:410-266-3257
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDLC3470101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional