PETER PHILLIP FORD

LAFAYETTE, LA
NPI1285090399
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-01-05
Last Update Date2016-01-05
Business Address
Mr. PETER PHILLIP FORD
913 S COLLEGE RD 105
LAFAYETTE, LA 70503-3060
Phone number: 337-534-8433
Mailing Address
Mr. PETER PHILLIP FORD
913 S COLLEGE RD 105
LAFAYETTE, LA 70503-3060
Phone number: 337-534-8433