Individual
MS. KATE LOUISE BASTIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS, LMFT
Contact information
Practice address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Mailing address
100 BILLINGSLEY RD, CHARLOTTE, NC 28211-1002
(704) 376-7447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22314
NC
106H00000X
Marriage & Family Therapist
11046A
NC
106H00000X
Marriage & Family Therapist
2030
NC
Other
Enumeration date
05/19/2016
Last updated
10/14/2020
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