Individual
JOHN FORTES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC I
Contact information
Practice address
106 SPRING ST UNIT 209, NEW BEDFORD, MA 02740
(508) 991-3105
Mailing address
106 SPRING ST UNIT 209, NEW BEDFORD, MA 02740-5951
(508) 991-3105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10145
MA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10145
MA
Other
Enumeration date
08/18/2009
Last updated
07/11/2018
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