Individual
MS. COLETTE JILL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8627 E 67TH STREET # B, TULSA, OK 74133
(918) 798-1864
Mailing address
8627 E 67TH #B, TULSA, OK 74133
(918) 798-1864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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