Mansfield, Kathy Dodge

Mansfield, Kathy Dodge is an individual health care provider with primary practice located at 2807 Neuse Blvd Ste 5, New Bern NC 28562-2815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Mansfield, Kathy Dodge can be contacted via phone (252) 636-0112.

Contact Information

Primary practice address
2807 Neuse Blvd Ste 5 New Bern NC 28562-2815
Phone: (252) 636-0112
Fax: (252) 634-9778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC1030 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS28 North Carolina

Profile Details

NPI number 1083684070
LBN Legal business name Mansfield, Kathy Dodge
Credentials LPC LCAS CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Oct 19th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083684070 NPPES
North Carolina Other 14309 BCBS
North Carolina Other 304557 BCBS
North Carolina Other 1572 BCBS
North Carolina Other 161958 BCBS
North Carolina MEDICAID 6102019 BCBS

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