Detra Ford
NPI #1245706498 in Coalinga, California
Provider Information
- NPI Number
- 1245706498
- Entity Type
- Individual
- Name
- Detra Ford
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Oct 15, 2018
- Last Updated
- Jan 3, 2022
Practice Location
- Address
- 415 CORNELL AVE
- City
- Coalinga
- State
- California
- ZIP Code
- 93210-1220
- Phone
- (559) 341-3293
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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