Individual
ELIZABETH A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC, NCC
Contact information
Practice address
1 W FIRESTORM WAY, GLENDALE, AZ 85306-3216
(480) 679-8065
Mailing address
4410 W UNION HILLS DR STE 7, GLENDALE, AZ 85308-1656
(480) 679-8065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21347
AZ
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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