Individual
RENEE DIANE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-R
Contact information
Practice address
3955 SALMON RIVER HWY, OTIS, OR 97368-9778
(541) 614-4437
(888) 977-2106
Mailing address
3551 S SCHOONER CREEK RD, LINCOLN CITY, OR 97367-9746
(541) 921-3124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-3198
OR
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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