Individual provider · Type 1 NPI

Phyllis M. Fortunato Martin, LPC

Professional Counselor · Fairfax, VA

NPI number 1215360532 Active

About NPI 1215360532

Phyllis M. Fortunato Martin, LPC's National Provider Identifier is 1215360532, issued on Aug 11, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairfax, VA. The record was last updated on Aug 11, 2013.