Stacy Ford
Stacy Ford is a Mental Health Counselor in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
1 Saint Vincents DrSan Rafael, CA 94903-1504
Phone: (415) 507-4262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1053759605 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2013 |
| Last updated in NPPES | June 5, 2013 |
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