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Dolores R Fortson, MSW. CDCA

Counselor, Addiction (Substance Use Disorder) in Cleveland, OH. Individual provider (NPI-1).

NPI number1083176531
StatusActive
Last updated in NPPESApr 3, 2019

Details

NPI
1083176531
Entity type
Individual (NPI-1)
Name
Dolores R Fortson
Credential
MSW. CDCA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2019
Last updated
Apr 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)163220OHYes

Practice location

2532 E 86th St
Cleveland, OH 44104-2244

Phone 216-456-6957

Mailing address

5104 Quincy Ave Apt 2139
Cleveland, OH 44104-1244

Phone 216-235-7540

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