Individual provider · Type 1 NPI
Eleanor Fortuna
Addiction (Substance Use Disorder) Counselor · Ocean Gate, NJ
NPI number
1013457589
Active
Practice location
326 E Lakewood Ave
Ocean Gate, NJ 08740-1336
Fax (908) 928-9367
Mailing address
PO Box 1274
Ocean Gate, NJ 08740-1274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00046500 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1013457589
Eleanor Fortuna's National Provider Identifier is 1013457589, issued on Mar 3, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ocean Gate, NJ. The record was last updated on Mar 3, 2017.