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Organization
FORTIS, LLC
Active
Organization
FORTIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DUSTI POWELL MS, LCMFT, RPT (MEMBER)
(913) 244-0648
Entity
Organization
Contact information
Practice address
5 STUBBLEFIELD LN, OTTAWA, KS 66067-8503
(913) 244-0648
(913) 490-2967
Mailing address
5 STUBBLEFIELD LN, OTTAWA, KS 66067-8503
(913) 244-0648
(913) 490-2967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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