TAWANNA FORTSON


Address: 236 Georgia Street Suite 101, Vallejo, CA 94590
Phone: (510) 318-6112

TAWANNA FORTSON (NPI# 1720597602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720597602
Entity Type Individual
Full Name TAWANNA FORTSON
Practice Address 236 Georgia Street Suite 101
Vallejo
CA 94590
Mailing Address 236 Georgia St Ste 101
Vallejo
CA 94590-5962
Practice Telephone (510) 318-6112
Mailing Telephone 5103186112
Enumeration Date 2017-09-23
Last Update Date 2017-09-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor CA Behavioral Health & Social Service Providers

Office Location

Street Address 236 GEORGIA STREET SUITE 101
City VALLEJO
State CA
Zip Code 94590

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306378260 Edgar Diaz Counselor 236 Georgia Street Suite 101, Vallejo, CA 94590 2017-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265051445 Jaspreet Bains Licensed Vocational Nurse 508 Alabama Street, Vallejo, CA 94590 2020-04-08
1467097527 Deneane Hannon Behavioral Analyst 238 Georgia St. Ste 102, Vallejo, CA 94590 2019-11-13
1780243196 Abla Harara Almoraissi Health Educator John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 2019-06-10
1891264461 Brian Emory Kellogg Marriage & Family Therapist 525 Oregon St., Php/iop, Vallejo, CA 94590 2018-11-13
1952801862 Carica Theresa Saraza Macariola Specialist/Technologist 1007 Solano Avenue, Vallejo, CA 94590 2018-02-16
1770007973 Deborah A Johnson-white Licensed Vocational Nurse 908 Tuolumne, Vallejo, CA 94590 2017-07-29
1528440096 Soren Perry Counselor 236 Georgia St., Vallejo, CA 94590 2015-06-22
1518366327 Kimberly A Holland Counselor 631 Tennessee Street Suite 201, Vallejo, CA 94590 2014-08-18
1841605193 Lawana Lofton Psychologist 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 2014-06-25
1407131964 Mariah Lupe Dominguez Student in an Organized Health Care Education/Training Program 355 Tuolumne Street, Ste 1400, Vallejo, CA 94590 2011-10-17
Find all providers in zip 94590

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871115220 Keith Brian C Sayson Counselor 7050 Stonebrooke Dr, Vallejo, CA 94591-8702 2020-05-08
1225658073 Anjanique D President Counselor 140 Coloma Way, Vallejo, CA 94589-1419 2020-04-22
1255951042 Geena M King Counselor 130 Muller St, Vallejo, CA 94590-7150 2020-04-21
1184276610 Ebony Joy Perry Counselor 313 Corkwood St, Vallejo, CA 94591-5721 2019-07-15
1083272918 Sandra Lynette Bolden Counselor 355 Tuolumne St # Ms 20-210, Vallejo, CA 94590-5700 2019-06-05
1649733361 Kim Michele Johnson Counselor 536 Mark Ave, Vallejo, CA 94589-2029 2019-04-09
1306378260 Edgar Diaz Counselor 236 Georgia Street Suite 101, Vallejo, CA 94590 2017-03-30
1265898449 Lacreena Williams Counselor 301 Rodgers St, Vallejo, CA 94590-3052 2016-01-04
1326351529 Pamela Davisson Counselor 164 Robles Way # 113, Vallejo, CA 94591-8039 2010-07-16
1275850075 Frank Sanchez Panares Counselor 83 Rotary Way Apt C, Vallejo, CA 94591-8481 2010-05-03
Find all providers in VALLEJO

Competitor

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City VALLEJO
Zip Code 94590

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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