Provider Demographics
NPI:1700132438
Name:PASOUR, CATHY CLONINGER (MACC, LMFT, LCAS)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:CLONINGER
Last Name:PASOUR
Suffix:
Gender:F
Credentials:MACC, LMFT, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 FAIRGROVE CHURCH RD SE STE 202
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-9289
Mailing Address - Country:US
Mailing Address - Phone:828-638-5907
Mailing Address - Fax:828-322-2280
Practice Address - Street 1:715 FAIRGROVE CHURCH RD SE STE 202
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613
Practice Address - Country:US
Practice Address - Phone:704-689-8163
Practice Address - Fax:828-322-2280
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1453106H00000X
NC1818101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)