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John Michael Ford, QMHA,CADC1
Addiction (Substance Use Disorder) Counselor in Coburg, Oregon
NPI 1346893294

John Michael Ford is an Addiction (Substance Use Disorder) Counselor based in Coburg, OR and is specialized in Addiction (Substance Use Disorder). John Michael Ford practices in Coburg, OR and has the professional credentials of QMHA,CADC1. The NPI Number for John Michael Ford is 1346893294 and holds a License No. (Oregon).

The current practice location address for John Michael Ford is 1 Serenity Ln, Coburg, OR and can be reached out via phone at 541-687-1110. You can also correspond with John Michael Ford through the mailing address at 1 SERENITY LN, COBURG, OR - 97408-9350 (mailing address contact number: 541-687-1110).

Location: 1 Serenity Ln, Coburg, OR, 97408-9350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346893294
Provider Name
John Michael Ford
Credential
QMHA,CADC1
Provider Entity Type
Individual
Gender
Male
Address
1 Serenity Ln, Coburg, OR, 97408-9350
Phone Number
541-687-1110
Fax Number
Provider Enumeration Date
07/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider Business Mailing Address Details
Address
1 Serenity Ln
City
Coburg
State
Oregon
Zip
97408-9350
Phone Number
541-687-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
15-05-09 (Oregon)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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