Organization
SUZANNE FORTNUM CONSULTING LLC
Active
Organization
SUZANNE FORTNUM CONSULTING LLC
Active
Parent organization
SUZANNE FORTNUM CONSULTING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUZANNE FORTNUM CONSULTING LLC
Authorized official
SUZANNE FORTNUM LPC MA (OWNER)
(202) 870-4130
Entity
Organization
Contact information
Practice address
600 CAMERON ST STE 113, ALEXANDRIA, VA 22314-2506
(202) 870-4130
Mailing address
7803 SUTTER LN, ANNANDALE, VA 22003-4974
(202) 870-4130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396358974
COMMERCIAL INSURANCE
VA
Enumeration date
04/28/2022
Last updated
04/28/2022
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