Individual
CARLA FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1311 LAS BRISAS DR, SANTEE, CA 92071-4326
(404) 457-4442
Mailing address
1311 LAS BRISAS DR, SANTEE, CA 92071-4326
(404) 457-4442
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12017
CA
101YM0800X
Mental Health Counselor
89309
TX
101YM0800X
Mental Health Counselor
LPC007367
GA
Other
Enumeration date
12/07/2015
Last updated
10/17/2023
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