Individual
JOY JENNIFER FORTNER-EDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, CACP
Contact information
Practice address
185 RILEY SMITH DRIVE, GREENVILLE, SC 29615
(864) 297-5101
(864) 297-5423
Mailing address
185 RILEY SMITH DRIVE, GREENVILLE, SC 29615
(864) 297-5101
(864) 297-5423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
5267
SC
101YA0400X
Addiction (Substance Use Disorder) Counselor
5473
SC
101YP2500X
Professional Counselor
Primary
5482
SC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
SC
106H00000X
Marriage & Family Therapist
4599
SC
Other
Enumeration date
04/09/2012
Last updated
03/12/2015
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