MR. VERNON FORMAN, CERTIFICATIONS
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1952403966
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 1701 (WI) |
Frequently Asked Questions
NPI 1952403966 is the National Provider Identifier for MR. VERNON FORMAN, CERTIFICATIONS, a Counselor - Addiction (Substance Use Disorder) provider located in Port Washington, WI. This NPI was enumerated on September 1, 2006.
MR. VERNON FORMAN, CERTIFICATIONS practices at 722 S SPRING ST, Port Washington, WI 53074.
Quick Facts
- NPI
- 1952403966
- Type
- Individual
- Enumerated
- Sep 1, 2006
- Last Updated
- Jul 8, 2007
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