Individual provider · Type 1 NPI

Jacquelyn Richelle Ford

Mental Health Counselor · Ardmore, OK

NPI number 1861754103 Active

Practice location

823 G St NW
Ardmore, OK 73401-4049

Call (580) 279-3977 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861754103

Jacquelyn Richelle Ford's National Provider Identifier is 1861754103, issued on Jun 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on Jun 12, 2012.