Organization
KATIE FORD LPC MFT
Active
Other names
Katie Ford LPC MFT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIE FORD LPC, MFT (LICENSED PROFESSIONAL COUNSELOR)
(661) 426-4213
Entity
Organization
Contact information
Practice address
2500 NE TWIN KNOLLS DR STE 260, BEND, OR 97701-4786
(661) 426-4213
Mailing address
73 SW TAFT AVE, BEND, OR 97702-1286
(661) 426-4213
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2149
LICENSED PROFESSIONAL COUNSELOR
OR
01
—
T0574
MARRIAGE & FAMILY THERAPIST
OR
Enumeration date
11/25/2019
Last updated
09/09/2024
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