JEFFREY DALE FORD

SPOKANE, WA
NPI1942913603
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61319735)
Enumeration Date2022-12-27
Last Update Date2022-12-27
Business Address
JEFFREY DALE FORD SUDPt
4301 W SUNSET BLVD
SPOKANE, WA 99224-5157
Phone number: 509-953-6674
Mailing Address
JEFFREY DALE FORD SUDPt
975 E NORTH FOOTHILLS DR APT B102
SPOKANE, WA 99207-2716
Phone number: 509-953-5768
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