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Individual

DR. DAVID JULIUS FORD JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCMHC, LPC, NCC, ACS

Contact information

Practice address
87 MAPLE AVE STE 2, RED BANK, NJ 07701-1761
(336) 340-7602
Mailing address
4 WILLOW DR APT 2A, OCEAN, NJ 07712-2832
(336) 340-7602

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9034
NC
101YP2500X
Professional Counselor
0701006314
VA
101YP2500X
Professional Counselor
Primary
37PC00659900
NJ

Other

Enumeration date
03/03/2010
Last updated
04/16/2020
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