Individual
MS. ASIA MARIE FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
100 NOE BIXBY RD, COLUMBUS, OH 43213-1460
(614) 892-2454
(614) 892-2459
Mailing address
100 NOE BIXBY RD, COLUMBUS, OH 43213-1460
(614) 892-2454
(614) 892-2459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.164075
OH
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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