Organization
MARKITA FORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARKITA ANTOINETTE FORD CSAC,LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(704) 408-1882
Entity
Organization
Contact information
Practice address
1801 N TRYON ST, CHARLOTTE, NC 28206-2704
(704) 408-1882
Mailing address
1235 EAST BLVD # 242, CHARLOTTE, NC 28203-5870
(704) 408-1882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102420
—
NC
Enumeration date
02/05/2007
Last updated
08/22/2020
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