Individual
CRYSTAL J FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2807 BROOKDALE DR, BROOKLYN PARK, MN 55444-1844
(763) 237-9898
Mailing address
19 4TH AVE NW, FOREST LAKE, MN 55025-1138
(651) 248-3461
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1634
MN
Other
Enumeration date
10/16/2017
Last updated
03/17/2018
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