Individual
ANDREW FREDERICK FORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC ASSOCIATE
Contact information
Practice address
100 N CENTRAL EXPY STE 613, RICHARDSON, TX 75080-5326
(214) 530-2324
Mailing address
111 WAKE DR, RICHARDSON, TX 75081-3739
(214) 744-3366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
91255
TX
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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