KEITH HARRISON FORD

ANACORTES, WA
NPI1245691070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60026494)
Enumeration Date2016-03-07
Last Update Date2022-06-16
Business Address
KEITH HARRISON FORD
8212 S MARCH POINT RD
ANACORTES, WA 98221-8684
Phone number: 360-588-2800
Mailing Address
KEITH HARRISON FORD
17337 RESERVATION RD
LA CONNER, WA 98257-8802
Phone number: 360-466-1024