Individual
BRENDA S FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
101 LENA DR, ROGERSVILLE, TN 37857-2951
(423) 272-9239
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4099
TN
Other
Enumeration date
10/01/2012
Last updated
12/28/2017
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