Dominique Fortson-jordan CDP

  • NPI 1245768308
According to our database, the NPI number for Dominique Fortson-jordan CDP is 1245768308 and activated since 6 years ago. Dominique Fortson-jordan CDP is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 758 St Helens Ave, Tacoma, WA 98402. You can also contact Dominique Fortson-jordan CDP via telephone number is (253) 274-0484. Provider NPI information was last updated on 06/01/2017.

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Overview of Dominique Fortson-jordan CDP

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/01/2017
  • Last updated: 06/01/2017

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 60597844
  • License State: WA

Provider Mailing Address

  • Address: 758 St Helens Ave
    Tacoma, WA 98402
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 758 St Helens Ave
    Tacoma, WA 98402
  • Phone: 253-274-0484
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 60597844
  • License State: WA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Dominique Fortson-jordan CDP?
  • A: The npi number for Dominique Fortson-jordan CDP is 1245768308.
  • Q: What are Dominique Fortson-jordan CDP's specialties?
  • A: Dominique Fortson-jordan CDP's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Dominique Fortson-jordan CDP?
  • A: The medical license number for Dominique Fortson-jordan CDP is 60597844 and issued in WA in USA.
  • Q: Where is Dominique Fortson-jordan CDP practice location?
  • A: Dominique Fortson-jordan CDP is practicing at 758 St Helens Ave, Tacoma, WA 98402.
  • Q: How to contact Dominique Fortson-jordan CDP?
  • A: You can contact Dominique Fortson-jordan CDP via 253-274-0484.