Individual
RACHEL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4822 W MYSTIC COVE WAY, GARDEN CITY, ID 83714-4785
(662) 299-3703
Mailing address
4822 W MYSTIC COVE WAY, GARDEN CITY, ID 83714-4785
(662) 299-3703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-10007
ID
101YM0800X
Mental Health Counselor
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Other
Enumeration date
01/11/2023
Last updated
08/01/2024
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