Individual provider · Type 1 NPI

Bradley Jonathan Fortin

Mental Health Counselor · Wasilla, AK

NPI number 1417843178 Active

Practice location

291 E Swanson Ave
Wasilla, AK 99654-7004

Fax (907) 917-5390

Mailing address

1251 Muldoon Rd Ste 116
Anchorage, AK 99504-2098

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417843178

Bradley Jonathan Fortin's National Provider Identifier is 1417843178, issued on Jun 17, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wasilla, AK. The record was last updated on Jun 17, 2025.