Individual
DANIELLE ALICA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP-T
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 362-7282
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 362-7282
(206) 362-7152
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO61649271
WA
Other
Enumeration date
07/14/2021
Last updated
05/22/2025
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