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DONALD ALAN FORD LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1477818953

Individual Registrant:
 DONALD ALAN FORD LMHC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1304 S DE SOTO AVE STE 306  TAMPA, FL 33606-7105 US
Tel: 941-677-8350  Fax: --

Contact information for business:
3154 RAWCLIFFE RD  CLERMONT, FL 34714-6169 US
Tel: 941-677-8350  Fax: --

Registration Information:
NPI: 1477818953
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
FLMH12129

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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