Individual
AMELIA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 BAY BLVD STE B, SUITE B, CHULA VISTA, CA 91911-2670
(619) 585-7686
(619) 585-7699
Mailing address
1161 BAY BLVD SUITE B, SUITE B, CHULA VISTA, CA 91911
(619) 585-7686
(619) 585-7699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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