VANESSA ERICA FORD

CHICAGO, IL
NPI1184602427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149009994)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  22776)
Enumeration Date2006-01-06
Last Update Date2007-08-13
Business Address
-- VANESSA ERICA FORD LCSW, CADC
4003 N BROADWAY ST SUITE 6
CHICAGO, IL 60613-2110
Phone number: 773-552-8070
Mailing Address
-- VANESSA ERICA FORD LCSW, CADC
1155 W ROOSEVELT RD UNIT # 409
CHICAGO, IL 60608-1671
Phone number: 773-552-8070