Individual
DAPHNE FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 COLLEGE DRIVE, MERIDIAN, MS 39307-5345
(601) 483-4821
(601) 485-8727
Mailing address
P.O. BOX 2868, MERIDIAN, MS 39302-2801
(601) 483-4821
(601) 485-8727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
10/31/2024
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