Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam R Ford, CDCA11

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1710674486

Sam R Ford, CDCA11 is an Addiction (Substance Use Disorder) Counselor in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

500 Madison Ave Ste 340
Toledo, OH 43604-1277
Phone: (419) 360-8251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA162201 (OH)

Record details

NPI number1710674486
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA11
Sole proprietorYes
NPI enumeratedApril 21, 2023
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

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