Individual
ADDISON FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
543 EAST STONER AVE, SHREVEPORT, LA 71101
(318) 673-9901
(318) 673-9906
Mailing address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103-4301
(318) 779-0434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
18544
LA
Other
Enumeration date
11/19/2015
Last updated
07/10/2025
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