Individual
MR. ANDREW JOHN FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1 PIN OAK CT, TABERNACLE, NJ 08088-8514
(609) 932-6073
Mailing address
1 PIN OAK CT, TABERNACLE, NJ 08088-8514
(609) 932-6073
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00968300
NJ
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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