Terrell Jason Fortune
Terrell Jason Fortune is an Addiction (Substance Use Disorder) Counselor in San Mateo, California. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
720 S B StSan Mateo, CA 94401
Phone: (650) 579-7157
Fax: (650) 579-5530
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1720349731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2012 |
| Last updated in NPPES | June 6, 2012 |
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