Organization
EMILY FORTUNA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY FORTUNA LPC (OWNER, CLINICIAN)
(206) 696-8765
Entity
Organization
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE STE 120, GRAND RAPIDS, MI 49546-5939
(206) 696-8765
Mailing address
3430 BROOKPOINT DR SE, GRAND RAPIDS, MI 49546-7204
(206) 696-8765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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