Individual provider · Type 1 NPI
Jeffrey Fortgang, PhD
Addiction (Substance Use Disorder) Counselor · Newton, MA
NPI number
1912914169
Active
Practice location
50 Solon Street
Newton, MA 02461-1827
Fax (617) 964-6822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1066 (MA) |
| Clinical Psychologist | 103TC0700X | 2822 (MA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Newton
About NPI 1912914169
Jeffrey Fortgang, PhD's National Provider Identifier is 1912914169, issued on Aug 1, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newton, MA. The record was last updated on Sep 11, 2025.