Provider Demographics
NPI:1730241324
Name:STOLFORS, STEPHEN WILLIAM (MA CAGS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:WILLIAM
Last Name:STOLFORS
Suffix:
Gender:M
Credentials:MA CAGS
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Mailing Address - Street 1:319 LAFAYETTE ST
Mailing Address - Street 2:UNIT 3 STEPHEN STOLFORS
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970
Mailing Address - Country:US
Mailing Address - Phone:617-273-5578
Mailing Address - Fax:
Practice Address - Street 1:789 CLAPBOARTTREE STREET
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090
Practice Address - Country:US
Practice Address - Phone:781-762-4001
Practice Address - Fax:781-461-5950
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA325533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health