Ms. Ishea MONIQUE Fort LCSW

NPI No. 1790962264 - Social Worker/Clinical

 

Contacts & Locations

Practice Address

  • 3102 E. Highland Avenue
    MEDICAL STAFF OFFICE
    Patton, CA 92369, US
  • Phone: +1 (909) 425-7000

Office Address

  • 3102 E. Highland Avenue
    MEDICAL STAFF OFFICE
    Patton, CA 92369, US
  • Phone: +1 (909) 425-7000

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Ms. Ishea Monique Fort Lcsw Information

The 1790962264 NPI number belongs to Ms. Ishea Monique Fort Lcsw. This is a Individual with practice address is located at 3102 E. Highland Avenue, Patton 92369 CA and telephone contact is (909) 425-7000. The Ms. Ishea Monique Fort Lcsw is Suppliers with classification in Social Worker/Clinical.

About NPI No.

  • NPI Number: 1790962264
  • Individual: Physicians, dentists, nurses, chiropractors, pharmacists, physical therapists, etc.
  • Name: Ms. Ishea Monique Fort Lcsw
  • Credential: LCSW
  • Taxonomy

  • Taxonomy code: 1041C0700X
  • Taxonomy specialization: Social Worker/Clinical
  • License

  • License number: 60835
  • License state: CA State License
  • Enumeration date: January 28, 2008
  • Last Update date: November 22, 2016

Individual: Individual health care providers may receive NPIs. As a sole proprietor, you must apply for the npi 1790962264 using your own Social Security Number, not an Employer Identification Number even if you have an EIN. As a sole proprietor, you may receive only one npi 1790962264, just like any other individual.

 

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