Tristan Shae Fortner, BS, RBT

NPI #1558977751 in London, Ohio

Provider Information

NPI Number: 1558977751
Entity Type: Individual
Name: Tristan Shae Fortner, BS, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BS, RBT
Enumeration Date: Sep 22, 2020
Last Updated: Feb 20, 2024

Practice Location

Address: 1375 US HIGHWAY 42 SE
Address 2: STE C
City: London
State: Ohio
ZIP Code: 43140-9548
Phone: (614) 879-8067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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