Individual
KINETA YVETTE FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
5121 CRESTWAY RD, WINDCREST, TX 78239-1980
(800) 805-6989
Mailing address
5121 CRESTWAY RD, WINDCREST, TX 78239-1980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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