Individual
TERESA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
16444
SC
1041C0700X
Clinical Social Worker
207164
AK
Other
Enumeration date
10/13/2020
Last updated
09/24/2025
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