Individual
CHRISTINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
127 E 123RD ST, GALLIANO, LA 70354-4223
(985) 632-2175
(985) 632-8651
Mailing address
180 OLD LA 1, LOCKPORT, LA 70374
(985) 693-7983
(985) 632-8651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
596
LA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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