Detra Ford
Detra Ford is a Marriage & Family Therapist in Coalinga, California. Licensed in California. Registered with an NPI since 2018.
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
415 Cornell AveCoalinga, CA 93210-1220
Phone: (559) 341-3293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 106209 (CA) |
|---|
Record details
| NPI number | 1245706498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 15, 2018 |
| Last updated in NPPES | January 3, 2022 |
| Mailing address | 415 Cornell Ave, Coalinga, CA 93210-1220 |
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