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Individual

MRS. SHARON MATTHEWS FORTUNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CSAC

Contact information

Practice address
4895A FINLAY ST, RICHMOND, VA 23231-2746
(804) 236-8200
(804) 237-0568
Mailing address
4895A FINLAY ST, RICHMOND, VA 23231-2746
(804) 236-8200
(804) 237-0568

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002878
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010011639
VA
Enumeration date
05/23/2006
Last updated
01/30/2017
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