Xiaria Fortenberry, PCMHT
NPI #1982465605 in Columbia, Mississippi
Provider Information
- NPI Number
- 1982465605
- Entity Type
- Individual
- Name
- Xiaria Fortenberry, PCMHT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- PCMHT
- Enumeration Date
- Jan 19, 2024
- Last Updated
- Jan 19, 2024
Practice Location
- Address
- 217 DEWEY ST
- City
- Columbia
- State
- Mississippi
- ZIP Code
- 39429-2751
- Phone
- (601) 736-6799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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