Individual provider · Type 1 NPI

Sam R. Ford, CDCA 11

Addiction (Substance Use Disorder) Counselor · Toledo, OH

NPI number 1710674486 Active

Practice location

500 Madison Ave Ste 340
Toledo, OH 43604-1277

Call (419) 360-8251 Map

Mailing address

2428 W Central Ave Apt 2B
Toledo, OH 43606-3715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA162201 (OH)

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

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About NPI 1710674486

Sam R. Ford, CDCA 11's National Provider Identifier is 1710674486, issued on Apr 21, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Apr 21, 2023.