EMILY JEANNE FORNWALT

JOHNSON CITY, TN
NPI1083745434
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NC  S6459)
Enumeration Date2007-03-08
Last Update Date2024-05-01
Business Address
EMILY JEANNE FORNWALT LCMHC-S
614 W PINE ST
JOHNSON CITY, TN 37604-6608
Phone number: 423-281-4089
Mailing Address
EMILY JEANNE FORNWALT LCMHC-S
614 W PINE ST
JOHNSON CITY, TN 37604-6608
Phone number: 423-281-4089
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