Individual
AMY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMHC
Contact information
Practice address
27752 254TH WAY SE, MAPLE VALLEY, WA 98038-2035
(425) 306-7632
(425) 584-7122
Mailing address
29034 216TH AVE SE, SUITE 3, BLACK DIAMOND, WA 98010-1297
(425) 306-7632
(425) 584-7122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60031142
WA
Other
Enumeration date
03/28/2009
Last updated
03/28/2009
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