Individual
ALYSON M FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2116 ARLINGTON AVE, LOS ANGELES, CA 90018-1353
(323) 334-9000
Mailing address
2116 ARLINGTON AVE, LOS ANGELES, CA 90018-1353
(323) 334-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
93013
CA
1041C0700X
Clinical Social Worker
Primary
104592
CA
Other
Enumeration date
01/23/2020
Last updated
10/15/2021
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