FREDERICK RICHARD FORD

WEST HOLLYWOOD, CA
NPI1902488588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-04-23
Last Update Date2023-08-11
Business Address
FREDERICK RICHARD FORD
8739 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069-4507
Phone number: 310-623-1477
Mailing Address
FREDERICK RICHARD FORD
8739 SANTA MONICA BLVD
WEST HOLLYWOOD, CA 90069-4507
Phone number: 310-623-1477