person
Ms. Kathy Lee Fortner, EDS,LPC
Mental Health Counselor in Myrtle Beach, South Carolina
NPI 1740319060

Kathy Lee Fortner is a Mental Health Counselor based in Myrtle Beach, SC and is specialized in Mental Health. Kathy Lee Fortner practices in Myrtle Beach, SC and has the professional credentials of EDS,LPC. The NPI Number for Kathy Lee Fortner is 1740319060 and holds a License No. 4632 (South Carolina).

The current practice location address for Kathy Lee Fortner is 1107 48Th Ave N, Myrtle Beach, SC and can be reached out via phone at 843-240-9446 and via fax at 866-647-6536.

Location: 1107 48Th Ave N, Myrtle Beach, SC, 29572-0007
person
Provider Profile Details
NPI Number
1740319060
Provider Name
Kathy Lee Fortner
Credential
EDS,LPC
Provider Entity Type
Individual
Gender
Female
Address
1107 48Th Ave N, Myrtle Beach, SC, 29572-0007
Phone Number
843-240-9446
Fax Number
866-647-6536
Provider Enumeration Date
03/04/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1107 48Th Ave N
City
State
Zip
29577-5443
Phone Number
843-240-9446
Fax Number
866-647-6536
person
Provider Business Mailing Address Details
Address
1107 48Th Ave N
City
State
Zip
29577-5443
Phone Number
843-240-9446
Fax Number
866-647-6536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4632 (South Carolina)
Definition
Definition to come...
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