Individual
ANGELA K FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 CHESTNUT ST STE B, 1400 B CHESTNUT, SUSANVILLE, CA 96130-3773
(530) 251-8487
Mailing address
700-270 PILCHER ST, SUSANVILLE, CA 96130-3779
(530) 251-8487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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