JOHN MICHAEL FORD

COBURG, OR
NPI1346893294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  15-05-09)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2019-07-19
Last Update Date2022-12-12
Business Address
JOHN MICHAEL FORD QMHA, CADC1
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110
Mailing Address
JOHN MICHAEL FORD QMHA, CADC1
1 SERENITY LN
COBURG, OR 97408-9350
Phone number: 541-687-1110