Individual
CANDACE M FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-R
Contact information
Practice address
46 BRADBURY WAY, STAFFORD, VA 22554-1800
(912) 484-2231
Mailing address
46 BRADBURY WAY, STAFFORD, VA 22554-1800
(912) 484-2231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704013649
VA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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