Douglas Ray Stafford, LPC - Counselor in Salt Lake City, UT

Douglas Ray Stafford, LPC is a Counselor - Mental Health based in Salt Lake City, Utah. Douglas Ray Stafford is licensed to practice in Utah (license number 27743846004) and his current practice location is 411 Grant St, Salt Lake City, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 359-8862.

NPI number for Douglas Ray Stafford is 1003119918 and his current mailing address is 9704 S 2760 E, Sandy, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003119918.

Contact Information

Douglas Ray Stafford, LPC
411 Grant St,
Salt Lake City, UT 84116-2725
(801) 359-8862
Not Available

Healthcare Provider's Profile

Full NameDouglas Ray Stafford
GenderMale
SpecialityCounselor - Mental Health
Location411 Grant St, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003119918
  • Provider Enumeration Date: 12/15/2010
  • Last Update Date: 12/15/2010

Medical Identifiers

Medical identifiers for Douglas Ray Stafford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003119918NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 27743846004 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Ray Stafford is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas Ray Stafford, LPC
9704 S 2760 E,
Sandy, UT 84092-3411

Ph: (801) 942-4970
Douglas Ray Stafford, LPC
411 Grant St,
Salt Lake City, UT 84116-2725

Ph: (801) 359-8862

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