Individual
KAYLYN FOURTUNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 HUNTSMAN CT, GASTONIA, NC 28054-6060
(704) 671-4487
(704) 671-4494
Mailing address
920 CAMBRIDGE ST, FAYETTEVILLE, NC 28303-5300
(910) 493-3555
(910) 493-3520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/31/2018
Last updated
07/20/2022
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