Individual
SARA SCOTT FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA, CRC, CSP
Contact information
Practice address
3825 MARKET ST STE 6, WILMINGTON, NC 28403-1426
(910) 777-5575
Mailing address
3825 MARKET ST STE 6, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A15456
NC
101YM0800X
Mental Health Counselor
A15456
NC
101YP2500X
Professional Counselor
Primary
A15456
NC
225C00000X
Rehabilitation Counselor
00237454
NC
Other
Enumeration date
07/13/2020
Last updated
07/16/2020
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