Individual
KEITH HARRISON FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8212 S MARCH POINT RD, ANACORTES, WA 98221-8684
(360) 588-2800
(360) 588-2808
Mailing address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-1024
(360) 466-7364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60026494
WA
Other
Enumeration date
03/07/2016
Last updated
06/16/2022
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