DR. Stephen Fortson, ED.D. PCC-S

NPI #1285081307 in Centerville, Ohio

Provider Information

NPI Number: 1285081307
Entity Type: Individual
Name: DR. Stephen Fortson, ED.D. PCC-S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: ED.D. PCC-S
Enumeration Date: May 18, 2016
Last Updated: May 18, 2016

Practice Location

Address: 51 IRONGATE PARK DR
City: Centerville
State: Ohio
ZIP Code: 45459-4616
Phone: (937) 439-4220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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