Ford, Vanessa Erica

Ford, Vanessa Erica is an sole proprietor health care provider with primary practice located at 4003 N Broadway St Suite 6, Chicago IL 60613-2110. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ford, Vanessa Erica can be contacted via phone (773) 552-8070.

Contact Information

Primary practice address
4003 N Broadway St Suite 6 Chicago IL 60613-2110
Phone: (773) 552-8070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22776 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149009994 Illinois

Profile Details

NPI number 1184602427
LBN Legal business name Ford, Vanessa Erica
Credentials LCSW, CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2006
Last updated Aug 13th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers