Individual
MELISSA K. FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1411 N. WATER TOWER, MT. VERNON, IL 62864
(217) 347-5880
Mailing address
1411 N. WATER TOWER, MT. VERNON, IL 62864
(217) 347-5880
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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