Fortin, Larry

Fortin, Larry is an individual health care provider with primary practice located at 1237 Green Oak Rd , Vista CA 92081-7821. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Fortin, Larry can be contacted via phone (760) 598-2803.

Contact Information

Primary practice address
1237 Green Oak Rd Vista CA 92081-7821
Phone: (760) 598-2803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT30548 California

Profile Details

NPI number 1457492696
LBN Legal business name Fortin, Larry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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