Individual provider · Type 1 NPI
Colette Jill Ford
Mental Health Counselor · Tulsa, OK
NPI number
1639497068
Active
Practice location
8627 E 67th Street # B
Tulsa, OK 74133
Mailing address
8627 E 67th #B
Tulsa, OK 74133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1639497068
Colette Jill Ford's National Provider Identifier is 1639497068, issued on May 10, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tulsa, OK. The record was last updated on May 10, 2010.