Individual provider · Type 1 NPI

Xiaria Fortenberry, PCMHT

Mental Health Counselor · Columbia, MS

NPI number 1982465605 Active

Practice location

217 Dewey St
Columbia, MS 39429-2751

Call (601) 736-6799 Map

Fax (601) 736-4809

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6200 (MS)

Mental Health Counselor: Definition to come...

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About NPI 1982465605

Xiaria Fortenberry, PCMHT's National Provider Identifier is 1982465605, issued on Jan 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, MS. The record was last updated on Jan 19, 2024.