Individual
DEVON SIMONE FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC, CAADC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37769
IL
101YP2500X
Professional Counselor
13837
NC
101YP2500X
Professional Counselor
Primary
180.015985
IL
Other
Enumeration date
05/21/2018
Last updated
06/06/2024
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