Archie Ford

NPI #1376987933 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1376987933
Entity Type: Individual
Name: Archie Ford
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 24, 2013
Last Updated: Apr 24, 2013

Practice Location

Address: 816 E TACOMA ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-8100
Phone: (918) 852-9732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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