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Individual

CHERYL M FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
547 DAYTON ST, EDMONDS, WA 98020-3431
(425) 771-5166
(425) 670-2807
Mailing address
PO BOX 24694, FEDERAL WAY, WA 98093-1694
(425) 771-5166
(425) 670-2807

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00008922
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7692FO
REGENCE
WA
Enumeration date
01/29/2007
Last updated
07/08/2007
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