MRS. Laura Rae Fortune, CAC/CM
NPI #1548629116 in North Bend, Oregon
Provider Information
- NPI Number
- 1548629116
- Entity Type
- Individual
- Name
- MRS. Laura Rae Fortune, CAC/CM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CAC/CM
- Enumeration Date
- Feb 11, 2016
- Last Updated
- Feb 11, 2016
Practice Location
- Address
- 400 VIRGINIA AVE #201
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-2709
- Phone
- (541) 751-0357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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