MR. STACY FORTENBERRY, LPC
Counselor - Professional
Active
Individual
NPI: 1518227032
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 0669 (MS) |
Frequently Asked Questions
NPI 1518227032 is the National Provider Identifier for MR. STACY FORTENBERRY, LPC, a Counselor - Professional provider located in Hattiesburg, MS. This NPI was enumerated on May 17, 2012.
MR. STACY FORTENBERRY, LPC practices at 5 ORLEANS DR, SUITE 2, Hattiesburg, MS 39402.
Quick Facts
- NPI
- 1518227032
- Type
- Individual
- Enumerated
- May 17, 2012
- Last Updated
- May 17, 2012
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