Terrell Jason Fortune is an addiction (substance use disorder) counselor in San Mateo, CA. Terrell Jason Fortune NPI is 1720349731. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
720 S. B ST.
SAN MATEO, CA
ZIP 94401
Phone: (650) 579-7157
Fax: (650) 579-5530
The enumeration date for this NPI number is 6/6/2012 and was last updated on 6/6/2012.