Individual provider · Type 1 NPI
Archie Ford
Mental Health Counselor · Broken Arrow, OK
NPI number
1376987933
Active
Practice location
816 E Tacoma St
Broken Arrow, OK 74012-8100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1376987933
Archie Ford's National Provider Identifier is 1376987933, issued on Apr 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Arrow, OK. The record was last updated on Apr 24, 2013.