Kalvin Fortenberry, MA CAADC ATE
NPI #1912361742 in East Hazel Crest, Illinois
Provider Information
- NPI Number
- 1912361742
- Entity Type
- Individual
- Name
- Kalvin Fortenberry, MA CAADC ATE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MA CAADC ATE
- Enumeration Date
- Apr 7, 2016
- Last Updated
- Apr 7, 2016
Practice Location
- Address
- 1909 CHEKER SQ
- City
- East Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-1442
- Phone
- (708) 647-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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