Christine Ford, LPC
Individual provider Active NPI Professional Counselor · Galliano, LA
NPI 1770637795 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770637795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 596 (LA)
- Practice address
- 127 E 123Rd St
Galliano, LA 70354-4223 - Phone
- (985) 632-2175
- Fax
- (985) 632-8651
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 596 | LA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 596 | LA | Yes |
Addresses
Primary practice location
127 E 123Rd St
Galliano, LA 70354-4223
Mailing address
180 Old la 1
Lockport, LA 70374
Phone (985) 693-7983
Other providers in Galliano, LA
- Kaylee Michelle Cole
- Ron Dantin
- Department of Health and Hospitals
- Dr Elliott Apcc
- Richard W Elliott
- Vernon J Foret
- Rutgerus Franciscus Jongbloets
- Eric James Keplinger
- Luke Lejeune
- Allen Mire IV
All providers in Galliano, LA · Professional Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.