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Individual
MS. LISA RENEE' FORD
Active
Individual
MS. LISA RENEE' FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LPC, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000845
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
MATS-4751
CT
101YP2500X
Professional Counselor
Primary
001800
CT
Other
Enumeration date
05/12/2009
Last updated
12/21/2023
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