Individual
ALEXANDRIA FORTENBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
601 E 63RD ST STE 404, KANSAS CITY, MO 64110-3369
(913) 605-4132
Mailing address
501 W COUNTRY LN, KANSAS CITY, MO 64114
(913) 605-4132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
202204038
MO
Other
Enumeration date
06/26/2023
Last updated
11/12/2024
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