person
Xiaria Fortenberry, PCMHT
Mental Health Counselor in Columbia, Mississippi
NPI 1982465605

Xiaria Fortenberry is a Mental Health Counselor based in Hattiesburg, MS and is specialized in Mental Health. Xiaria Fortenberry practices in Columbia, MS and has the professional credentials of PCMHT. The NPI Number for Xiaria Fortenberry is 1982465605 and holds a License No. 6200 (Mississippi).

The current practice location address for Xiaria Fortenberry is 217 Dewey St, Columbia, MS and can be reached out via phone at 601-736-6799 and via fax at 601-736-4809.

Location: 217 Dewey St, Columbia, MS, 39404-8679
person
Provider Profile Details
NPI Number
1982465605
Provider Name
Xiaria Fortenberry
Credential
PCMHT
Provider Entity Type
Individual
Gender
Female
Address
217 Dewey St, Columbia, MS, 39404-8679
Phone Number
601-736-6799
Fax Number
601-736-4809
Provider Enumeration Date
01/19/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
217 Dewey St
City
State
Zip
39429-2751
Phone Number
601-736-6799
Fax Number
601-736-4809
person
Provider Business Mailing Address Details
Address
217 Dewey St
City
State
Zip
39429-2751
Phone Number
601-736-6799
Fax Number
601-736-4809
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6200 (Mississippi)
Definition
Definition to come...
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