Individual provider · Type 1 NPI

Donna J. Fordham, CAC

Addiction (Substance Use Disorder) Counselor · Elmhurst, NY

NPI number 1831265636 Active

Practice location

80th St & 41st Ave
Elmhurst, NY 11373-1329

Fax (718) 334-5958

Mailing address

7901 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X007883 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1831265636

Donna J. Fordham, CAC's National Provider Identifier is 1831265636, issued on Nov 27, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elmhurst, NY. The record was last updated on Jul 8, 2007.