Individual provider · Type 1 NPI
Michael Fortune
Addiction (Substance Use Disorder) Counselor · Liberty, TX
NPI number
1104298280
Active
Practice location
2800 Beaumont Ave # 1
Liberty, TX 77575-5126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12037 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Liberty
About NPI 1104298280
Michael Fortune's National Provider Identifier is 1104298280, issued on Oct 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Liberty, TX. The record was last updated on Oct 28, 2015.