Tavonna Ford

NPI #1487031662 in Newman, California

Provider Information

NPI Number: 1487031662
Entity Type: Individual
Name: Tavonna Ford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Apr 27, 2015
Last Updated: Apr 27, 2015

Practice Location

Address: 546 BONANZA DR
City: Newman
State: California
ZIP Code: 95360-9661
Phone: (510) 219-3294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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