Jonathan Dale Ford I, MA
NPI #1205559127 in Scottsburg, Indiana
Provider Information
- NPI Number
- 1205559127
- Entity Type
- Individual
- Name
- Jonathan Dale Ford I, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA
- Enumeration Date
- Sep 26, 2022
- Last Updated
- Sep 26, 2022
Practice Location
- Address
- 75 N 1ST ST
- City
- Scottsburg
- State
- Indiana
- ZIP Code
- 47170-1637
- Phone
- (812) 752-2837
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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