Individual
MRS. JIMIKO W FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP
Contact information
Practice address
1166 CAMP CREEK RD, LANCASTER, SC 29720-8558
(803) 670-2555
Mailing address
1166 CAMP CREEK RD, LANCASTER, SC 29720-8558
(803) 670-2555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C013620
NC
101YP2500X
Professional Counselor
Primary
15760
SC
Other
Enumeration date
04/24/2020
Last updated
04/22/2026
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