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Search › California › 106H00000X

Khalil Fortenberry, AMFT

NPI 1164277869 · on the registry since 2024

Practice

Address
920 Peralta St
Oakland, CA 94607
Phone
(510) 899-2192
Organisation at this address
Prescott-Joseph Center For Community Enhancement, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California