| Doctor Name: | MARILEE H FORD |
| NPI Number: | 1821100330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 0837 |
| Business Practice Address: | 610 Elizaville Ave Flemingsburg, KY - 410411140 |
| Business Phone Number: | 6068492212 |
| Business Fax Number: | 6068492242 |
| Mailing Address: | 610 Elizaville Avenue, FLEMINGSBURG |
| State: | KENTUCKY |
| Postal Code: | 41041 |
| Phone Number: | 6068492212 |
| Fax Number: | 6068492242 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0837 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |