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TAWANNA FORTSON
NPI 1720597602
Counselor in Vallejo, CA

Active since September 23, 2017
236 GEORGIA STREET SUITE 101, VALLEJO, CA 94590(510) 318-6112 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 23, 2017 (2 updates tracked since 2017).

About Tawanna Fortson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAWANNA FORTSON (NPI 1720597602) is an individual counselor in Vallejo, California and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1720597602
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTAWANNA FORTSON
Location Address236 GEORGIA STREET SUITE 101Vallejo, CA 94590
Mailing Address236 Georgia St Ste 101Vallejo, CA 94590-5962 · (510) 318-6112
Phone(510) 318-6112
Sole ProprietorYes
Enumeration DateSeptember 23, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1720597602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
236 GEORGIA STREET SUITE 101, Vallejo, CA 94590
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tawanna Fortson's NPI number?

The NPI number for Tawanna Fortson is 1720597602. It was assigned to this individual provider in the NPPES registry on September 23, 2017.

Where is Tawanna Fortson located?

Tawanna Fortson practices at 236 Georgia Street Suite 101, Vallejo, CA 94590. The listed phone number is (510) 318-6112.

What is Tawanna Fortson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tawanna Fortson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.