MISS Rebekkah Catherine Fortner, MMPP

NPI #1134318934 in Bryant, Arkansas

Provider Information

NPI Number
1134318934
Entity Type
Individual
Name
MISS Rebekkah Catherine Fortner, MMPP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
MMPP
Enumeration Date
Oct 17, 2007
Last Updated
Oct 17, 2007

Practice Location

Address
12100 FIELDSTONE LN
Address 2
M65
City
Bryant
ZIP Code
72022-4203
Phone
(501) 351-0859

Specialties & Taxonomy Codes

Specialty
Counselor

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