Individual
MS. AMY G FORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC, LADC
Contact information
Practice address
2821 W HORIZON RIDGE PKWY, SUITE 121, HENDERSON, NV 89052-4427
(702) 498-7853
Mailing address
2821 W HORIZON RIDGE PKWY, SUITE 121, HENDERSON, NV 89052-4427
(702) 498-7853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10208
NV
101YM0800X
Mental Health Counselor
Primary
CP0052
NV
Other
Enumeration date
02/05/2012
Last updated
02/05/2012
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