Individual
KATESHA LAVETT FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3918 MONTCLAIR RD STE 206, MOUNTAIN BRK, AL 35213-2418
(205) 994-2798
(205) 778-5304
Mailing address
3918 MONTCLAIR RD STE 206, MOUNTAIN BRK, AL 35213-2418
(205) 994-2798
(205) 778-5304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC03893
AL
Other
Enumeration date
06/13/2018
Last updated
07/15/2024
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