Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KALVIN FORTENBERRY, MA CAADC ATE
ActiveKALVIN FORTENBERRY, MA CAADC ATE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in EAST HAZEL CREST, Illinois. NPI 1912361742 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · EAST HAZEL CREST, IL
Registration Details
- NPI Number
- 1912361742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2016 (10.337778083904 yrs)
- Last Updated
- Apr 7, 2016
- License
-
15408 (IL)
Practice Information
- Address
-
1909 CHEKER SQEAST HAZEL CREST, IL, 604291442Browse IL providers · Browse ZIP 60429
- Phone
- 7086473333
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in EAST HAZEL CREST, IL
| Name | Credential | NPI |
|---|---|---|
| JANET COLEMAN | — | 1952763583 |
| THOMAS GARRY | CADC | 1942662200 |
| ROBERT LEE SR. | — | 1275996829 |
| DOREEN GREEN | LPC | 1649633256 |
| TERRI BJARNSON | CAADC | 1871956334 |
| HALL HANES | CSADC | 1134582679 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.