Individual provider · Type 1 NPI
Laura Rae Fortune, CAC/CM
Addiction (Substance Use Disorder) Counselor · North Bend, OR
NPI number
1548629116
Active
Practice location
400 Virginia Ave #201
North Bend, OR 97459-2709
Fax (541) 751-9985
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1548629116
Laura Rae Fortune, CAC/CM's National Provider Identifier is 1548629116, issued on Feb 11, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Bend, OR. The record was last updated on Feb 11, 2016.