Individual
MELISA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
153 SCOUTING CIR, TROY, AL 36081-2540
(334) 808-8991
Mailing address
1011 DELLWOOD AVE, DOTHAN, AL 36303-3739
(706) 405-6699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4118
AL
Other
Enumeration date
07/15/2019
Last updated
01/04/2022
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