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Individual

AMBER DIANE FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
528 E MAIN ST STE W, JOHN DAY, OR 97845-1289
(541) 575-1466
Mailing address
528 E MAIN ST STE W, JOHN DAY, OR 97845-1289
(541) 575-1466

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/16/2022
Last updated
02/16/2022
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