Individual
BRANDI FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 CLARK ST, DES MOINES, IA 50314-1916
(515) 643-6500
(515) 643-6598
Mailing address
2213 SUNFLOWER ST, PERRY, IA 50220-2513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23025
IA
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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