Ford, Teresa

Ford, Teresa is an individual health care provider with primary practice located at 508 Upland St , Kenai AK 99611-8026. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ford, Teresa can be contacted via phone (907) 335-7330.

Contact Information

Primary practice address
508 Upland St Kenai AK 99611-8026
Phone: (907) 335-7330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 207164 Alaska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 16444 South Carolina

Profile Details

NPI number 1255939211
LBN Legal business name Ford, Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2020
Last updated Apr 18th, 2024 - about last year

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 1255939211 NPPES
South Carolina MEDICAID 251S00000X

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