Vernon Wayne Forman is an Addiction (Substance Use Disorder) Counselor based in Port Washington, WI and is specialized in Addiction (Substance Use Disorder). Vernon Wayne Forman practices in Port Washington, WI and has the professional credentials of CERTIFICATIONS. The NPI Number for Vernon Wayne Forman is 1952403966 and holds a License No. 1701 (Wisconsin).
The current practice location address for Vernon Wayne Forman is 722 S Spring St, Port Washington, WI and can be reached out via phone at 262-483-0048.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701 | 01 | WI | CERT. AODA COUNSELOR III |
| 11482 | 01 | WI | CERT. CLIN. SUPERVISOR II |
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