| Doctor Name: | MS. DOLORES FORD |
| NPI Number: | 1114268455 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, NCC, LMHCA |
| License Number: | MC60303240 |
| Business Practice Address: | 55 Alder St Nw Suite 204 Ephrata, WA - 988231696 |
| Business Phone Number: | 5092379753 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1484, EPHRATA |
| State: | WA |
| Postal Code: | 988231484 |
| Phone Number: | 5092379753 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 08/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC60303240 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |