Racheal Fawn Fortney

NPI #1457066516 in Pawhuska, Oklahoma

Provider Information

NPI Number: 1457066516
Entity Type: Individual
Name: Racheal Fawn Fortney
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 23, 2023
Last Updated: Jan 23, 2023

Practice Location

Address: 100 W MAIN ST FL 4
City: Pawhuska
State: Oklahoma
ZIP Code: 74056-4149
Phone: (918) 287-3286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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