Individual provider · Type 1 NPI

Jackie Lee Ford, CDP

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1568937795 Active

Practice location

4324 N Jefferson St
Spokane, WA 99205-1209

Call (509) 315-8682 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1568937795

Jackie Lee Ford, CDP's National Provider Identifier is 1568937795, issued on Oct 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Oct 3, 2018.