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Individual

DORI FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMPSS

Contact information

Practice address
250 JOANN ST, COSTA MESA, CA 92626-6455
(949) 631-9041
Mailing address
250 JOANN ST, COSTA MESA, CA 92626-6455
(714) 330-9400

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CA
172V00000X
Community Health Worker
CA
175T00000X
Peer Specialist
Primary
MPSS-GERHAK
CA

Other

Enumeration date
12/13/2022
Last updated
10/21/2025
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