Individual
JACLYN FORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1011 PEMBERTON HILL RD, SUITE 202, APEX, NC 27502
(919) 410-3852
Mailing address
1011 PEMBERTON HILL RD STE 202, APEX, NC 27502
(919) 410-3852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14288
NC
Other
Enumeration date
11/15/2013
Last updated
06/19/2018
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