Individual
MICHELLE AVARY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 DEARMAN AVE, LONG BEACH, MS 39560-5909
(228) 547-2713
Mailing address
111 DEARMAN AVE, LONG BEACH, MS 39560
(228) 547-2713
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1266
MS
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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