Individual
MS. ANTONELLA FORTUNATA RE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
41 BROWNSTONE WAY APT 308, ENGLEWOOD, NJ 07631-1212
(347) 833-8221
Mailing address
41 BROWNSTONE WAY APT 308, ENGLEWOOD, NJ 07631-1212
(347) 833-8221
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
07/15/2022
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