Individual
MS. JODI LIN FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
786 WILKINSON PL, LABADIE, MO 63055-1057
(636) 422-0060
Mailing address
1323 JASPER LN, WASHINGTON, MO 63090-4148
(636) 667-9292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2010013715
MO
Other
Enumeration date
05/11/2010
Last updated
01/18/2026
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