Individual
RACHEL MARIE FORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LAC
Contact information
Practice address
1919 N AMIDON AVE STE 317, WICHITA, KS 67203-2120
(316) 250-5055
Mailing address
1999 N AMIDON AVE STE 216, WICHITA, KS 67203-2123
(316) 250-5055
(866) 316-4467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
109
KS
1041C0700X
Clinical Social Worker
Primary
06715
KS
Other
Enumeration date
07/19/2021
Last updated
07/19/2025
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