Doctor Name: | MS. STEPHANIE STAFFORD - BARRETT |
NPI Number: | 1629254537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 61607 29 Palms Hwy Suite C & D Joshua Tree, CA - 922522391 |
Business Phone Number: | 7603668641 |
Business Fax Number: | 7603663365 |
Mailing Address: | 61607 29 Palms Hwy, Suite C & D JOSHUA TREE |
State: | CA |
Postal Code: | 922522391 |
Phone Number: | 7603668641 |
Fax Number: | 7603663365 |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 09/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |