Individual provider · Type 1 NPI
Dolores R. Fortson, MSW. CDCA
Addiction (Substance Use Disorder) Counselor · Cleveland, OH
NPI number
1083176531
Active
Practice location
2532 E 86th St
Cleveland, OH 44104-2244
Mailing address
5104 Quincy Ave Apt 2139
Cleveland, OH 44104-1244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 163220 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1083176531
Dolores R. Fortson, MSW. CDCA's National Provider Identifier is 1083176531, issued on Apr 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Apr 3, 2019.