Organization
FORTITUDE TRAILS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M FOX LCSW (OWNER)
(618) 920-1680
Entity
Organization
Contact information
Practice address
4460 N ILLINOIS ST STE 1, SWANSEA, IL 62226-1899
(618) 277-7570
Mailing address
2921 MARYVILLE RD STE B, MARYVILLE, IL 62062-5400
(618) 484-9337
(618) 484-9353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
11/28/2023
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