Emily Jeanne Fornwalt, LCMHC-S
NPI #1083745434 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1083745434
- Entity Type
- Individual
- Name
- Emily Jeanne Fornwalt, LCMHC-S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCMHC-S
- Enumeration Date
- Mar 8, 2007
- Last Updated
- May 1, 2024
Practice Location
- Address
- 614 W PINE ST
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6608
- Phone
- (423) 281-4089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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