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General NPI Number Information
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NPI Number | 1295594919
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Entity Type | Organization
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Legal Business Name | CATHERINE FORD COUNSELING PLLC
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 03/15/2024
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Provider Practice Location Address
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Address Line | 3719 LATROBE DR STE 830
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City | CHARLOTTE
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State | NC
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Zip | 28211-5120
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Country | US
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Telephone | 704-993-6808
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Fax |
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Provider Business Mailing Address
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Address Line | 317 E TREMONT AVE APT 102
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City | CHARLOTTE
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State | NC
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Zip | 28203-6291
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Country | US
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Telephone | 919-920-4415
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | CATHERINE FORD
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Credential | LCMHC, LCASA
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Telephone | 919-920-4415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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