Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tawanna Fortson

Individual provider Counselor · NPI 1720597602

Tawanna Fortson is a Counselor in Vallejo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

236 Georgia St Ste 101
Vallejo, CA 94590
Phone: (510) 318-6112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (CA)

Record details

NPI number1720597602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 23, 2017
Last updated in NPPESJuly 21, 2022

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