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W DAVIDA STAFFORD AAC, MHP
NPI 1114580594
Counselor in Centralia, WA

Active since April 21, 2019
209 W MAIN ST, CENTRALIA, WA 98531(509) 899-5512 Get Directions Write a Review

NPPES record last updated: April 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About W Davida Stafford Aac, Mhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

W DAVIDA STAFFORD AAC, MHP (NPI 1114580594) is an individual counselor in Centralia, Washington, licensed in Washington (101Y00000X-COUNSELOR) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1114580594
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameW DAVIDA STAFFORDCredential: AAC, MHP
Location Address209 W MAIN STCentralia, WA 98531-4245
Mailing Address209 W Main StCentralia, WA 98531-4245 · (509) 899-5512
Phone(509) 899-5512
Sole ProprietorNo
Enumeration DateApril 21, 2019
✔ NPI 1114580594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Licenses✔ Licensed in WA · 101Y00000X-COUNSELOR✔ Licensed in WA · CG60328778
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
209 W MAIN ST, Centralia, WA 98531
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESIKA RICHANNE SAND
Counselor (Addiction (Substance Use Disorder))
209 W MAIN ST
CENTRALIA, WA 98531
Lewis County (360) 748-4339
AARON WARD NELDON
Counselor (Mental Health)
209 W MAIN ST
CENTRALIA, WA 98531
Lewis County (360) 623-1271
TIFFANY MARIE GILPIN BS,AAC
Counselor (Mental Health)
209 W MAIN ST
CENTRALIA, WA 98531
Lewis County (360) 623-1265
CHERYL ARMITAGE MONGOVIN
Social Worker
209 W MAIN ST
CENTRALIA, WA 98531
Lewis County (360) 623-8033
DIANE L. WILSON WEINER MA
Counselor (Mental Health)
209 W MAIN ST
CENTRALIA, WA 98531
Lewis County (360) 330-9044
HANNAH SHEETS
Counselor
209 W MAIN ST
CENTRALIA, WA 98531
Lewis County (360) 330-9044
DINA MARIE HORTON
Peer Specialist
209 W MAIN ST
CENTRALIA, WA 98531
Lewis County (360) 429-9349
EDWARD THOMAS GOLLIHUGH
Counselor (Mental Health)
209 W MAIN ST
CENTRALIA, WA 98531
Lewis County (360) 623-1264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is W Stafford's NPI number?

The NPI number for W Stafford is 1114580594. It was assigned to this individual provider in the NPPES registry on April 21, 2019.

Where is W Stafford located?

W Stafford practices at 209 W Main St, Centralia, WA 98531. The listed phone number is (509) 899-5512.

What is W Stafford's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for W Stafford was last updated on April 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.