Individual
AMBER FORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2376 MAIN ST STE A, TUCKER, GA 30084-4492
(770) 609-5525
Mailing address
103 RIVER POINT RD, JACKSON, GA 30233-3719
(678) 882-9726
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AMFT000427
GA
101YM0800X
Mental Health Counselor
Primary
MFT001638
GA
Other
Enumeration date
09/08/2017
Last updated
02/07/2022
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