MEDICARE: CAITLIN NICOLE FORD LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1881552149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN NICOLE FORD LAC

Provider Business Mailing Address
First Line	:	25 LINDSLEY DR STE 300
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-4456
Country	:	US
Telephone Number	:	973-998-7900
Fax Number	:	973-998-7910

Provider Business Practice Location Address
First Line	:	25 LINDSLEY DR STE 300
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-4456
Country	:	US
Telephone Number	:	973-998-7900
Fax Number	:	973-998-7910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ CAITLIN NICOLE FORD LAC” Practice Location

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