person
Ms. Jane Medlin Fortune, LPC
Professional Counselor in Myrtle Beach, South Carolina
NPI 1689859100

Jane Medlin Fortune is a Professional Counselor based in Myrtle Beach, SC and is specialized in Professional. Jane Medlin Fortune practices in Myrtle Beach, SC and has the professional credentials of LPC. The NPI Number for Jane Medlin Fortune is 1689859100 and holds a License No. 4937 (South Carolina).

The current practice location address for Jane Medlin Fortune is 4999 Carolina Forest Blvd, Myrtle Beach, SC and can be reached out via phone at 843-506-0462 and via fax at 888-727-1946. You can also correspond with Jane Medlin Fortune through the mailing address at 4999 CAROLINA FOREST BLVD, MYRTLE BEACH, SC - 29579-3587 (mailing address contact number: 843-506-0462).

Location: 4999 Carolina Forest Blvd, Myrtle Beach, SC, 29579-3587
person
Provider Profile Details
NPI Number
1689859100
Provider Name
Jane Medlin Fortune
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4999 Carolina Forest Blvd, Myrtle Beach, SC, 29579-3587
Phone Number
843-506-0462
Fax Number
888-727-1946
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PC1051 05 SC
institution
Provider Business Practice Location Address Details
Address
4999 Carolina Forest Blvd
City
State
Zip
29579-3587
Phone Number
843-506-0462
Fax Number
888-727-1946
person
Provider Business Mailing Address Details
Address
4999 Carolina Forest Blvd
City
State
Zip
29579-3587
Phone Number
843-506-0462
Fax Number
888-727-1946
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4937 (South Carolina)
Definition
Definition to come...
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