Individual
JEROME FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7550
(757) 953-7560
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7550
(757) 953-7560
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001436
VA
Other
Enumeration date
11/05/2013
Last updated
02/20/2020
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