Individual provider · Type 1 NPI

Grace Fortier

Mental Health Counselor · Maitland, FL

NPI number 1104308428 Active

Practice location

2700 Westhall Ln Ste 207
Maitland, FL 32751-7478

Mailing address

5462 Ariva Way Apt 202
Lakeland, FL 33812-4417

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104308428

Grace Fortier's National Provider Identifier is 1104308428, issued on Sep 4, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maitland, FL. The record was last updated on Sep 4, 2018.