MR. Vernon Wayne Forman, CERTIFICATIONS is an addiction (substance use disorder) counselor in Port Washington, WI. MR. Vernon Wayne Forman, CERTIFICATIONS NPI is 1952403966. 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:
722 S SPRING ST
PORT WASHINGTON, WI
ZIP 53074-334
Phone: (262) 483-0048
The enumeration date for this NPI number is 9/1/2006 and was last updated on 7/8/2007.