Individual
ADRIS FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
136 E CHAPEL HILL ST, DURHAM, NC 27701
(919) 688-7101
(919) 688-7102
Mailing address
136 E CHAPEL HILL ST, DURHAM, NC 27701-3202
(919) 688-7101
(919) 688-7102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2701
NC
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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