Individual
VIOLA FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SOUTH BROAD STREET SUITE 7, NEW ORLEANS, LA 70119
(504) 309-9991
(504) 821-0609
Mailing address
200 S BROAD ST STE 7, NEW ORLEANS, LA 70119-6447
(504) 309-9991
(504) 821-0609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
LA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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