Individual
ELEANOR FORTUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
326 E LAKEWOOD AVE, OCEAN GATE, NJ 08740-1336
(732) 232-3137
(908) 928-9367
Mailing address
PO BOX 1274, OCEAN GATE, NJ 08740-1274
(732) 232-3137
(908) 928-9367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00046500
NJ
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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