TAWANNA FORTSON (NPI# 1720597602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CA | Behavioral Health & Social Service Providers |
| Street Address |
236 GEORGIA STREET SUITE 101 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 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 Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| 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 | ||||
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| 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.