Individual
MS. VANESSA MARIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1450 COLUMBUS AVE STE 105, WASHINGTON COURT HOUSE, OH 43160-3701
(800) 321-8293
(208) 493-4900
Mailing address
PO BOX 132, ATHENS, OH 45701-0132
(800) 321-8293
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
340
KY
101YP2500X
Professional Counselor
LPC-3865
ID
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/11/2007
Last updated
03/07/2023
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