Individual
MISS JESSICA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CACP
Contact information
Practice address
226 MCGEE RD, ANDERSON, SC 29625-2104
(864) 260-4168
Mailing address
128 BRAEBURN DR, ANDERSON, SC 29621-7905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
10464
SC
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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