Individual provider · Type 1 NPI

Tristan Shae Fortner, BS, RBT

Mental Health Counselor · London, OH

NPI number 1558977751 Active

Practice location

1375 US Highway 42 SE Ste C
London, OH 43140-9548

Call (614) 879-8067 Map

Fax (614) 503-0899

Mailing address

1375 US Highway 42 SE, Ste C
London, OH 43140-9548

Other practice locations

  • 5548 Hilliard Rome Office Park, Hilliard, OH 43026-7286 · (740) 845-8652

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.2607356 (OH)

Mental Health Counselor: Definition to come...

20 other providers at this address

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About NPI 1558977751

Tristan Shae Fortner, BS, RBT's National Provider Identifier is 1558977751, issued on Sep 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in London, OH. The record was last updated on Jul 23, 2026.