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Tawanna Fortson
NPI 1720597602 · on the registry since 2017 · sole proprietor
Practice
- Address
- 236 Georgia Street Suite 101
Vallejo, CA 94590 - Phone
- (510) 318-6112
- Organisation at this address
- Child Have,N Inc
Bay Area Community Services Inc
Bay Area Community Services Inc
Bay Area Community Services Inc
Centers For Behavioral SolutionsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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