Individual
MR. HAROLD FORTUNATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
34 LOWRY CT APT D, CLIFTON, NJ 07012-3349
(973) 960-1726
Mailing address
7 RUBY PL, NEWARK, NJ 07104-2413
(973) 960-1726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00354600
NJ
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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