SearchNorth Carolina101YM0800X

Tony Fortin, LCMHCS, LCAS, CCS

NPI 1689742462 · on the registry since 2006

Practice

Address
1203 Maple St
Greensboro, NC 27405
Phone
(336) 641-3934
Fax
(336) 641-6193
Organisation at this address
County Of Guilford
County Of Guilford
Public Health Guildford County
Guilford County Department Of Public Health
Guilford County Department Of Public Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
159

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
101YP2500X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-30

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 North Carolina