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Individual
MS. KATHY DODGE MANSFIELD
Active
Individual
MS. KATHY DODGE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LCAS CCS
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC1030
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS28
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14309
BCBS
NC
01
—
1572
CBHA
NC
01
—
161958
VALUE OPTIONS
NC
01
—
304557
MHN
NC
05
—
6102019
—
NC
Enumeration date
01/24/2006
Last updated
10/19/2010
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