Mr. Vernon Wayne Forman is a Port Washington, Wisconsin based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Mr. Vernon Wayne Forman is 1701 for Addiction (Substance Use Disorder) Counselor in Wisconsin. His current practice location is 722 S Spring St, Port Washington. Patients can book an appointment with him at 262-483-0048.
Mr. Vernon Wayne Forman is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Mr. Vernon Wayne Forman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Vernon Wayne Forman
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Credentials:
CERTIFICATIONS
Accepts Medicare Assignment:
No
Practice Address:
722 S Spring St, Port Washington, Wisconsin, 53074-2334
Phone:
262-483-0048
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1952403966
NPI Enumeration Date:
01 Sep, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Vernon Wayne Forman are as mentioned below.
License Number
Specialization
State
Status
1701
Addiction (Substance Use Disorder) Counselor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Vernon Wayne Forman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1701
Other
Wisconsin
CERT. AODA COUNSELOR III
11482
Other
Wisconsin
CERT. CLIN. SUPERVISOR II
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
722 S Spring St, Port Washington, Wisconsin
Zip:
53074-2334
Phone Number:
262-483-0048
Patients can reach Mr. Vernon Wayne Forman at 722 S Spring St, Port Washington, Wisconsin or can call to book an appointment on 262-483-0048. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.