location
search-icon
person
Mr. Jack L. Fortenberry, LMSW
Counselor in Choctaw, Oklahoma
NPI 1023155645

Jack L. Fortenberry is a Counselor based in Choctaw, OK. Jack L. Fortenberry practices in Choctaw, OK and has the professional credentials of LMSW. The NPI Number for Jack L. Fortenberry is 1023155645 and holds a License No. 3030 (Oklahoma).

The current practice location address for Jack L. Fortenberry is 14625 Ne 23Rd Street, Choctaw, OK and can be reached out via phone at 405-390-8131 and via fax at 405-390-8134.

Location: 14625 Ne 23Rd Street, Choctaw, OK, 73020-0695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023155645
Provider Name
Jack L. Fortenberry
Credential
LMSW
Provider Entity Type
Individual
Gender
Male
Address
14625 Ne 23Rd Street, Choctaw, OK, 73020-0695
Phone Number
405-390-8131
Fax Number
405-390-8134
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
14625 Ne 23Rd Street
City
Choctaw
State
Oklahoma
Zip
73020
Phone Number
405-390-8131
Fax Number
405-390-8134
person
Provider Business Mailing Address Details
Address
14625 Ne 23Rd Street
City
Choctaw
State
Oklahoma
Zip
73020
Phone Number
405-390-8131
Fax Number
405-390-8134
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
3030 (Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.