Individual
DOUGLAS FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 487-8758
Mailing address
527 S HIGH ST, COLUMBUS, OH 43215-5602
(614) 487-8758
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
12/16/2020
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