Kevin Stafford Valid NPI
Individual provider · Marriage & Family Therapist · Alpine, CA
- NPI
- 1992830830
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- MFC 42913 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-22
- Last updated
- 2024-12-02
Practice location
2120 Alpine Blvd
Alpine, CA 91901-2113
(619) 445-2264