Kersha Fortune
Counselor in Brooklyn, NY. Individual provider (NPI-1).
NPI number1154763142
StatusActive
Last updated in NPPESJul 19, 2013
Details
- NPI
- 1154763142
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kersha Fortune
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2013
- Last updated
- Jul 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
195 Bay 19th St2nd Floor
Brooklyn, NY 11214-4761
Phone 718-338-4716 · Fax 718-338-5383
Mailing address
195 Bay 19th St2nd Floor
Brooklyn, NY 11214-4761
Phone 718-338-4716 · Fax 718-338-5383
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