Individual
MS. KATHY LEE FORTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, LPC
Contact information
Practice address
820 67TH AVE N UNIT 7139, MYRTLE BEACH, SC 29572-0315
(843) 240-9556
(866) 647-6536
Mailing address
PO BOX 7139, MYRTLE BEACH, SC 29572-0007
(843) 240-9446
(866) 647-6536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4632
SC
Other
Enumeration date
03/04/2007
Last updated
01/05/2026
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