Organization
FELICIA FORTNER
Active
Organization
FELICIA FORTNER
Active
Parent organization
FELICIA FORTNER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FELICIA FORTNER
Authorized official
FELICIA FORTNER (THERAPIST)
(972) 375-8268
Entity
Organization
Contact information
Practice address
1012 SAN JACINTO DR, IRVING, TX 75063-8221
(972) 375-8268
Mailing address
1012 SAN JACINTO DR, IRVING, TX 75063-8221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
67702
TX
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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