Individual
CAMILLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12511 152ND AVE, GRAND HAVEN, MI 49417
(616) 844-0906
Mailing address
12511 152ND AVE, GRAND HAVEN, MI 49417
(616) 844-0906
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846675
—
OH
Enumeration date
09/21/2015
Last updated
11/21/2025
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