Individual
MR. HERBERT FARLAN FORD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
608 NW 25TH ST, OKLAHOMA CITY, OK 73103-1424
(405) 318-7407
Mailing address
608 NW 25TH ST, OKLAHOMA CITY, OK 73103-1424
(405) 318-7407
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OK
101YM0800X
Mental Health Counselor
—
OK
101YP2500X
Professional Counselor
—
OK
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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