Individual
MR. PETER PHILLIP FORD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 S COLLEGE RD, 105, LAFAYETTE, LA 70503-3060
(337) 534-8433
Mailing address
913 S COLLEGE RD, 105, LAFAYETTE, LA 70503-3060
(337) 534-8433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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