Most Relevant Information
Provider Data
| NPI Number: | 1003512062 |
| Provider Name: | DANIEL FORD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/01/2023 |
| Last Updated: | 08/16/2023 |
Provider Practice Location
950 S SNODGRASS DR
PALMER
AK
996459750
Practice Location Phone/Fax
| Phone: | 9073734732 |
| Fax: | 9077464749 |
Provider Mailing Location
PO BOX 876741
WASILLA
AK
996876741
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |