RICHARD EDWARD FORT

UPLAND, CA
NPI1518039437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFT013902)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Mr. RICHARD EDWARD FORT MFT
1020 W 8TH ST
UPLAND, CA 91786-6326
Phone number: 909-982-2638
Mailing Address
Mr. RICHARD EDWARD FORT MFT
188 W LANGSTON ST
UPLAND, CA 91786-3123
Phone number: 909-982-8687