Individual provider · Type 1 NPI
Susan Grimes Fortner
Mental Health Counselor · Baxter, TN
NPI number
1275241572
Active
Practice location
214 Main St
Baxter, TN 38544-5280
Mailing address
214 Dyer Grimes Rd
Cookeville, TN 38501-4399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 5175 (TN) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Baxter
About NPI 1275241572
Susan Grimes Fortner's National Provider Identifier is 1275241572, issued on Nov 7, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baxter, TN. The record was last updated on Nov 7, 2022.