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Cynthia Ford, CPRC
Peer Specialist in Lewiston, Idaho
NPI 1417710096

Cynthia Ford is a Peer Specialist based in Lewiston, ID. Cynthia Ford practices in Lewiston, ID and has the professional credentials of CPRC. The NPI Number for Cynthia Ford is 1417710096 and holds a License No. 13020 (Idaho).

The current practice location address for Cynthia Ford is 1720 18Th Ave, Lewiston, ID and can be reached out via phone at 208-746-4097 and via fax at 208-746-2294.

Location: 1720 18Th Ave, Lewiston, ID, 83501-4047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417710096
Provider Name
Cynthia Ford
Credential
CPRC
Provider Entity Type
Individual
Gender
Female
Address
1720 18Th Ave, Lewiston, ID, 83501-4047
Phone Number
208-746-4097
Fax Number
208-746-2294
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 18Th Ave
City
Lewiston
State
Idaho
Zip
83501-4047
Phone Number
208-746-4097
Fax Number
208-746-2294
person
Provider Business Mailing Address Details
Address
1720 18Th Ave
City
Lewiston
State
Idaho
Zip
83501-4047
Phone Number
208-746-4097
Fax Number
208-746-2294
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
13020 (Idaho)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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