Individual
DEBORAH J FORD-DITTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CRC
Contact information
Practice address
11211 SAND CRANE WAY, SOUTH LYON, MI 48178-9557
(248) 739-0621
Mailing address
11211 SAND CRANE WAY, SOUTH LYON, MI 48178-9557
(248) 739-0621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401007296
MI
101YP2500X
Professional Counselor
Primary
6401007296
MI
171M00000X
Case Manager/Care Coordinator
6401007296
MI
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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