Individual
MRS. ANTOINETTE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(602) 462-1115
Mailing address
1117 E CAROB DR, CHANDLER, AZ 85286-2521
(480) 205-4202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC23175
AZ
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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