Individual provider · Type 1 NPI

Tony Joe Fortin, LCMHCS, LCAS, CCS

Mental Health Counselor · Greensboro, NC

NPI number 1689742462 Active

Practice location

1203 Maple St
Greensboro, NC 27405-6910

Fax (336) 641-6193

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X692 (NC)
Professional Counselor 101YP2500X2999 (NC)
Mental Health Counselor Primary 101YM0800X2999 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1689742462

Tony Joe Fortin, LCMHCS, LCAS, CCS's National Provider Identifier is 1689742462, issued on Dec 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greensboro, NC. The record was last updated on Dec 30, 2021.