Individual
MR. EARNEST FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
115 W SAGEBRUSH ST, GILBERT, AZ 85233-6916
(602) 448-5970
Mailing address
2152 SOUTH VINEYARD, BLDG. 4 STE. 109-1, MESA, AZ 85201-5661
(480) 507-3340
(480) 507-3317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-13204
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-13204
LICENSE
AZ
Enumeration date
06/26/2007
Last updated
09/11/2009
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