Individual
KRISTY DAWN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1001 15TH AVE NW, ARDMORE, OK 73401-1803
(580) 798-5015
Mailing address
423 RAILHEAD LOOP, ARDMORE, OK 73401-2936
(918) 623-8078
(580) 371-2056
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11374
OK
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/04/2019
Last updated
08/23/2024
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