Individual
CATHERINE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, LCAS
Contact information
Practice address
4117 PARK RD, CHARLOTTE, NC 28209-2214
(704) 993-6808
Mailing address
PO BOX 11288, CHARLOTTE, NC 28220-1288
(704) 258-1432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
14115
NC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
04/12/2019
Last updated
04/23/2026
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