Kimyunna Latrece Stafford
Counselor in Clarksville, TN. Individual provider (NPI-1).
NPI number1104763606
StatusActive
Last updated in NPPESMay 1, 2026
Details
- NPI
- 1104763606
- Entity type
- Individual (NPI-1)
- Name
- Kimyunna Latrece Stafford
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2026
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
25 Jefferson St Ste T1Clarksville, TN 37040-4901
Phone 615-348-5806
Mailing address
25 Jefferson St Ste T1Clarksville, TN 37040-4901
Phone 615-348-5806
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