Individual
ANDREA PEARL FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCASA
Contact information
Practice address
109 W CENTRAL ST, MAXTON, NC 28364-1703
(910) 844-2267
(910) 390-4307
Mailing address
PO BOX 1004, LUMBERTON, NC 28359-1004
(910) 964-0678
(910) 401-1083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-2091
NC
Other
Enumeration date
02/13/2023
Last updated
02/16/2023
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