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Individual
MS. KIMBERLY RENEE' FORD
Active
Individual
MS. KIMBERLY RENEE' FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, LPC, LCAS-A
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3547
NC
101YM0800X
Mental Health Counselor
Primary
9273
NC
101YP2500X
Professional Counselor
9273
NC
Other
Enumeration date
03/17/2014
Last updated
04/19/2024
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