Ford, Earnest

Ford, Earnest is an individual health care provider with primary practice located at 115 W Sagebrush St , Gilbert AZ 85233-6916. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ford, Earnest can be contacted via phone (602) 448-5970.

Contact Information

Primary practice address
115 W Sagebrush St Gilbert AZ 85233-6916
Phone: (602) 448-5970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-13204 Arizona

Profile Details

NPI number 1679779607
LBN Legal business name Ford, Earnest
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Sep 11th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679779607 NPPES
Arizona Other LPC-13204 LICENSE

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