Lisa Renee' Ford, LADC, LPC, LMHC
Counselor, Professional in Litchfield, CT. Individual provider (NPI-1).
NPI number1427282953
StatusActive
Last updated in NPPESDec 21, 2023
Details
- NPI
- 1427282953
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Renee' Ford
- Credential
- LADC, LPC, LMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 12, 2009
- Certification date
- Dec 21, 2023
- Last updated
- Dec 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 001800 | CT | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | MATS-4751 | CT | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 000845 | CT |
Practice location
374 E Litchfield RdLitchfield, CT 06759-2901
Phone 203-815-8267
Mailing address
374 E Litchfield RdLitchfield, CT 06759-2901
Phone 203-815-8267
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