Individual
CASSI LYNNETTE GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
5925 CARNEGIE BLVD, SUITE 350, CHARLOTTE, NC 28209-4655
(704) 660-6854
Mailing address
13331 BINNAWAY RD, HUNTERSVILLE, NC 28078-9327
(704) 650-5384
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1485
NC
106H00000X
Marriage & Family Therapist
7077A
NC
Other
Enumeration date
02/01/2012
Last updated
08/02/2013
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