Individual
DARRELL DEMETRIUS FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 W MILLBROOK RD STE 129, RALEIGH, NC 27609-4398
(919) 877-6101
(919) 876-4953
Mailing address
2239 MEMORY ST, FAYETTEVILLE, NC 28304-5828
(910) 797-3159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A16820
NC
101YP2500X
Professional Counselor
Primary
A16820
NC
Other
Enumeration date
08/02/2021
Last updated
05/05/2022
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