Individual provider · Type 1 NPI

Marla Lynette Ford, MA

Mental Health Counselor · Gautler, MS

NPI number 1891006458 Active

Practice location

3407 Shamrock Ct
Gautler, MS 39553-6429

Fax (228) 497-1363

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891006458

Marla Lynette Ford, MA's National Provider Identifier is 1891006458, issued on Jun 29, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gautler, MS. The record was last updated on Jun 29, 2010.