Individual
KRYSTAL DOMINIQUE FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
4235 HILLSBORO PIKE, NASHVILLE, TN 37215-3344
(901) 827-7956
Mailing address
7600 CABOT DR APT 115, NASHVILLE, TN 37209-4381
(901) 827-7956
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000003700
TN
Other
Enumeration date
08/08/2016
Last updated
02/11/2020
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