Individual
JULIET FORTINO
Active
Individual
JULIET FORTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC, RPT-S
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC-10235
AZ
101YM0800X
Mental Health Counselor
LPC-10235
AZ
101YP2500X
Professional Counselor
Primary
LPC-10235
AZ
Other
Enumeration date
05/16/2013
Last updated
10/15/2013
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