Individual
DELANCEY FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1400 BUFORD HWY STE C1, BUFORD, GA 30518-8722
(470) 326-5455
Mailing address
1400 BUFORD HWY STE C1, BUFORD, GA 30518-8722
(470) 326-5455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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