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Susan Grimes Fortner
Mental Health Counselor in Baxter, Tennessee
NPI 1275241572

Susan Grimes Fortner is a Mental Health Counselor based in Cookeville, TN and is specialized in Mental Health. Susan Grimes Fortner practices in Baxter, TN. The NPI Number for Susan Grimes Fortner is 1275241572 and holds a License No. 5175 (Tennessee).

The current practice location address for Susan Grimes Fortner is 214 Main St, Baxter, TN and can be reached out via phone at 931-588-0475.

Location: 214 Main St, Baxter, TN, 38501-4399
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275241572
Provider Name
Susan Grimes Fortner
Credential
Provider Entity Type
Individual
Gender
Female
Address
214 Main St, Baxter, TN, 38501-4399
Phone Number
931-588-0475
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
214 Main St
City
Baxter
State
Tennessee
Zip
38544-5280
Phone Number
931-588-0475
Fax Number
person
Provider Business Mailing Address Details
Address
214 Main St
City
Baxter
State
Tennessee
Zip
38544-5280
Phone Number
931-588-0475
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
5175 (Tennessee)
Definition
Definition to come...
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