Individual
MISS ALISA FORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 S HAWKINS AVE, AKRON, OH 44320-3902
(330) 867-5400
(330) 869-8263
Mailing address
PO BOX 8189, AKRON, OH 44320-0189
(330) 867-5400
(330) 869-8263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
060613
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3112492
—
OH
Enumeration date
11/22/2017
Last updated
11/22/2017
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