person
Tony Joe Fortin, LCMHCS,LCAS,CCS
Mental Health Counselor in Greensboro, North Carolina
NPI 1689742462

Tony Joe Fortin is a Mental Health Counselor based in Greensboro, NC and is specialized in Mental Health. Tony Joe Fortin practices in Greensboro, NC and has the professional credentials of LCMHCS,LCAS,CCS. The NPI Number for Tony Joe Fortin is 1689742462 and holds a License No. 692 (North Carolina).

The current practice location address for Tony Joe Fortin is 1203 Maple St, Greensboro, NC and can be reached out via phone at 336-641-3934 and via fax at 336-641-6193. You can also correspond with Tony Joe Fortin through the mailing address at 1203 MAPLE ST, GREENSBORO, NC - 27405-6910 (mailing address contact number: 336-641-3934).

Location: 1203 Maple St, Greensboro, NC, 27405-6910
person
Provider Profile Details
NPI Number
1689742462
Provider Name
Tony Joe Fortin
Credential
LCMHCS,LCAS,CCS
Provider Entity Type
Individual
Gender
Male
Address
1203 Maple St, Greensboro, NC, 27405-6910
Phone Number
336-641-3934
Fax Number
336-641-6193
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
6102795 05 NC
institution
Provider Business Practice Location Address Details
Address
1203 Maple St
City
State
Zip
27405-6910
Phone Number
336-641-3934
Fax Number
336-641-6193
person
Provider Business Mailing Address Details
Address
1203 Maple St
City
State
Zip
27405-6910
Phone Number
336-641-3934
Fax Number
336-641-6193
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2999 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2999 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
692 (North Carolina)
Definition
Definition to come...
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