Individual
MR. GREGORY ALLEN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC/C
Contact information
Practice address
222 SAINT JOHN ST, SUITE 210, PORTLAND, ME 04102-3041
(207) 828-0759
Mailing address
60 CLAY RD, GORHAM, ME 04038-2001
(207) 839-5933
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3449
ME
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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