Individual
AMY FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPCA
Contact information
Practice address
519 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 872-4449
Mailing address
183 ELBA DR, MOORESVILLE, NC 28115-5800
(980) 722-1186
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A8583
NC
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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