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Tawanna Fortson
Counselor in Vallejo, California
NPI 1720597602

Tawanna Fortson is a Counselor based in Vallejo, CA. Tawanna Fortson practices in Vallejo, CA. The NPI Number for Tawanna Fortson is 1720597602 and holds a License No. (California).

The current practice location address for Tawanna Fortson is 236 Georgia Street Suite 101, Vallejo, CA and can be reached out via phone at 510-318-6112.

Location: 236 Georgia Street Suite 101, Vallejo, CA, 94590-5962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720597602
Provider Name
Tawanna Fortson
Credential
Provider Entity Type
Individual
Gender
Female
Address
236 Georgia Street Suite 101, Vallejo, CA, 94590-5962
Phone Number
510-318-6112
Fax Number
Provider Enumeration Date
09/23/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
236 Georgia Street Suite 101
City
Vallejo
State
California
Zip
94590
Phone Number
510-318-6112
Fax Number
person
Provider Business Mailing Address Details
Address
236 Georgia Street Suite 101
City
Vallejo
State
California
Zip
94590
Phone Number
510-318-6112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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