| Doctor Name: | KERRY FORD |
| NPI Number: | 1316376072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. LCPC |
| License Number: | SWP-LCPC-LIC-4543 |
| Business Practice Address: | 470 Electric Ave Ste 2c Bigfork, MT - 599113661 |
| Business Phone Number: | 4068711051 |
| Business Fax Number: | |
| Mailing Address: | 470 Electric Ave, Ste 2c BIGFORK |
| State: | MT |
| Postal Code: | 599113661 |
| Phone Number: | 4068711051 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2013 |
| NPI Last Update Date: | 11/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | SWP-LCPC-LIC-4543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |