DEREK RYAN FORTNEY

LOS ANGELES, CA
NPI1508646001
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  139316)
Enumeration Date2023-10-02
Last Update Date2023-10-16
Business Address
DEREK RYAN FORTNEY
12099 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-2622
Phone number: 310-751-1174
Mailing Address
DEREK RYAN FORTNEY
12099 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-2622
Phone number: