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David Ford
Addiction (Substance Use Disorder) Counselor in Tiburon, California
NPI 1770061061

David Ford is an Addiction (Substance Use Disorder) Counselor based in San Rafael, CA and is specialized in Addiction (Substance Use Disorder). David Ford practices in Tiburon, CA. The NPI Number for David Ford is 1770061061 and holds a License No. R1283471117 (California).

The current practice location address for David Ford is 4 Barbaree Way, Tiburon, CA and can be reached out via phone at 415-635-7800.

Location: 4 Barbaree Way, Tiburon, CA, 94901-2124
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770061061
Provider Name
David Ford
Credential
Provider Entity Type
Individual
Gender
Male
Address
4 Barbaree Way, Tiburon, CA, 94901-2124
Phone Number
415-635-7800
Fax Number
Provider Enumeration Date
07/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1283471117 05 CA
institution
Provider Business Practice Location Address Details
Address
4 Barbaree Way
City
Tiburon
State
California
Zip
94920-2236
Phone Number
415-635-7800
Fax Number
person
Provider Business Mailing Address Details
Address
4 Barbaree Way
City
Tiburon
State
California
Zip
94920-2236
Phone Number
415-635-7800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1283471117 (California)
Definition
Definition to come...
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