Individual provider · Type 1 NPI
Jane Medlin Fortune, LPC
Professional Counselor · Myrtle Beach, SC
NPI number
1689859100
Active
Practice location
4999 Carolina Forest Blvd, Suite 22
Myrtle Beach, SC 29579-3587
Fax (888) 727-1946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4937 (SC) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1689859100
Jane Medlin Fortune, LPC's National Provider Identifier is 1689859100, issued on Jan 3, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Myrtle Beach, SC. The record was last updated on Mar 27, 2017.