person
Ms. Myra J. Ford, MAPPCPAT
Addiction (Substance Use Disorder) Counselor in Newcastle, Wyoming
NPI 1619039120

Myra J. Ford is an Addiction (Substance Use Disorder) Counselor based in Newcastle, WY and is specialized in Addiction (Substance Use Disorder). Myra J. Ford practices in Newcastle, WY and has the professional credentials of MAPPCPAT. The NPI Number for Myra J. Ford is 1619039120 and holds a License No. PPC-221 (Wyoming).

The current practice location address for Myra J. Ford is 420 Deanne Ave, Newcastle, WY and can be reached out via phone at 307-746-4456 and via fax at 307-746-4470. You can also correspond with Myra J. Ford through the mailing address at 420 DEANNE AVE, NEWCASTLE, WY - 82701-2936 (mailing address contact number: 307-746-4456).

Location: 420 Deanne Ave, Newcastle, WY, 82701-2936
person
Provider Profile Details
NPI Number
1619039120
Provider Name
Myra J. Ford
Credential
MAPPCPAT
Provider Entity Type
Individual
Gender
Female
Address
420 Deanne Ave, Newcastle, WY, 82701-2936
Phone Number
307-746-4456
Fax Number
307-746-4470
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
420 Deanne Ave
City
State
Zip
82701-2936
Phone Number
307-746-4456
Fax Number
307-746-4470
person
Provider Business Mailing Address Details
Address
420 Deanne Ave
City
State
Zip
82701-2936
Phone Number
307-746-4456
Fax Number
307-746-4470
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
PAT 016 (Wyoming)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
PPC-221 (Wyoming)
Definition
Definition to come...
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