person
Mrs. Cassonda Anne Stafford, LADAC
Addiction (Substance Use Disorder) Counselor in Roswell, New Mexico
NPI 1356900559

Cassonda Anne Stafford is an Addiction (Substance Use Disorder) Counselor based in Roswell, NM and is specialized in Addiction (Substance Use Disorder). Cassonda Anne Stafford practices in Roswell, NM and has the professional credentials of LADAC. The NPI Number for Cassonda Anne Stafford is 1356900559 and holds a License No. CAD0196841 (New Mexico).

The current practice location address for Cassonda Anne Stafford is 1107 S Atkinson Ave, Roswell, NM and can be reached out via phone at 575-578-4826. You can also correspond with Cassonda Anne Stafford through the mailing address at 1107 S ATKINSON AVE, ROSWELL, NM - 88203-7154 (mailing address contact number: 575-578-4826).

Location: 1107 S Atkinson Ave, Roswell, NM, 88203-7154
person
Provider Profile Details
NPI Number
1356900559
Provider Name
Cassonda Anne Stafford
Credential
LADAC
Provider Entity Type
Individual
Gender
Female
Address
1107 S Atkinson Ave, Roswell, NM, 88203-7154
Phone Number
575-578-4826
Fax Number
Provider Enumeration Date
06/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05 05 NM
institution
Provider Business Practice Location Address Details
Address
1107 S Atkinson Ave
City
State
Zip
88203-7154
Phone Number
575-578-4826
Fax Number
person
Provider Business Mailing Address Details
Address
1107 S Atkinson Ave
City
State
Zip
88203-7154
Phone Number
575-578-4826
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAD0196841 (New Mexico)
Definition
Definition to come...
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