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Jessica Ford

Counselor, Addiction (Substance Use Disorder) in Dayton, OH. Individual provider (NPI-1).

NPI number1154940211
StatusActive
Last updated in NPPESApr 9, 2020

Details

NPI
1154940211
Entity type
Individual (NPI-1)
Name
Jessica Ford
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2020
Certification date
Apr 9, 2020
Last updated
Apr 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

4124 Linden Ave
Dayton, OH 45432-3018

Phone 937-522-0962

Mailing address

4124 Linden Ave
Dayton, OH 45432-3018

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