Individual
MRS. ANGELA KAYE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
1037 BULLARD CT, SUITE 208, RALEIGH, NC 27615-6871
(919) 830-7445
Mailing address
203 WENONAH WAY, DURHAM, NC 27713-2463
(919) 741-0711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2257-A
NC
Other
Enumeration date
04/08/2013
Last updated
10/08/2014
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