Individual
CHARLES FORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1446 ETHAN WAY, SACRAMENTO, CA 95825
(916) 715-3511
Mailing address
1446 ETHAN WAY, SACRAMENTO, CA 95825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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