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Mr. Archie Ford JR.
Mental Health Counselor in Broken Arrow, Oklahoma
NPI 1366886707

Archie Ford JR. is a Mental Health Counselor based in Broken Arrow, OK and is specialized in Mental Health. Archie Ford JR. practices in Broken Arrow, OK. The NPI Number for Archie Ford JR. is 1366886707 and holds a License No. (Oklahoma).

The current practice location address for Archie Ford JR. is 816 E Tacoma St, Broken Arrow, OK and can be reached out via phone at 918-812-4306.

Location: 816 E Tacoma St, Broken Arrow, OK, 74012-8100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366886707
Provider Name
Archie Ford JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
816 E Tacoma St, Broken Arrow, OK, 74012-8100
Phone Number
918-812-4306
Fax Number
Provider Enumeration Date
04/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
816 E Tacoma St
City
Broken Arrow
State
Oklahoma
Zip
74012-8100
Phone Number
918-812-4306
Fax Number
person
Provider Business Mailing Address Details
Address
816 E Tacoma St
City
Broken Arrow
State
Oklahoma
Zip
74012-8100
Phone Number
918-812-4306
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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