Individual
KRISTINA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4116
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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