Individual
CRIS YOLANDA FORTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., LLPC
Contact information
Practice address
5539 BALDWIN ST, DETROIT, MI 48213-2836
(313) 624-7806
Mailing address
5539 BALDWIN ST, DETROIT, MI 48213-2836
(313) 624-7806
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
07/21/2022
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